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KENTUCKY SKIN CANCER CENTER PLLC
NPI 1902302987
Dermatology - MOHS-Micrographic Surgery in Bowling Green, KY

Active since March 30, 2018CLIA 18D2151711 · Certificate of Compliance
1818 WALLACE COURT, SUITE 301, BOWLING GREEN, KY 42103(270) 907-3030 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2018, Mar 30, 2018 (2 updates tracked since 2018).

About Kentucky Skin Cancer Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTUCKY SKIN CANCER CENTER PLLC (NPI 1902302987) is a healthcare organization registered as a mohs-micrographic surgery in Bowling Green, Kentucky and active in the NPI registry since March 2018. The organization holds a CLIA Certificate of Compliance certificate valid through February 20, 2027 and lists Robert Skaggs, Owner, as its authorized official.

NPPES Registry Identity

NPI1902302987
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameKENTUCKY SKIN CANCER CENTER PLLC
Location Address1818 WALLACE COURT, SUITE 301Bowling Green, KY 42103
Mailing Address1818 Wallace Court, Suite 301Bowling Green, KY 42103
Phone(270) 907-3030
Organization SubpartNo
Authorized OfficialRobert SkaggsOwner · (270) 907-3030
Enumeration DateMarch 30, 2018
Last NPPES UpdateApril 17, 20182 updates tracked since enumeration
✔ NPI 1902302987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
1818 WALLACE COURT, Bowling Green, KY 42103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kentucky Skin Cancer Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Kentucky Skin Cancer Center PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Robert Skaggs, M.D.
Dermatology
NPI 1821435074
1818 WALLACE COURT SUITE 301
Bowling Green, KY 42103
(270) 842-1919
✔ PECOS✔ Accepts MedicareSame address
Leslie Mills, D.O.
Dermatology
NPI 1497000723
2200 E PARRISH AVE STE 205
Owensboro, KY 42303
(270) 663-1078
✔ PECOS✔ Accepts Medicare65 mi
Cortney Higdon, APRN
Nurse Practitioner
NPI 1760076863
1901 FREEMAN AVE
Owensboro, KY 42301
(270) 929-3691
✔ PECOS✔ Accepts Medicare66 mi
Kathy Vincent, APRN, NP-BC
Nurse Practitioner
NPI 1598060899
215 E MAIN ST
Providence, KY 42450
(270) 667-7017
✔ PECOS✔ Accepts Medicare79 mi
Ryan Bogner, M.D.
Dermatology
NPI 1225440324
2857 CHARLESTOWN RD STE 100
New Albany, IN 47150
(812) 944-7500
✔ PECOS✔ Accepts Medicare100 mi
Kenneth Minielly, M.D.
Dermatology
NPI 1699125062
751 N RUTLEDGE ST STE 2300
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare263 mi
Anne Taylor Beck, MD
Dermatology
NPI 1508425935
1 HOSPITAL DR
Columbia, MO 65212
(573) 884-1606
✔ PECOS✔ Accepts Medicare349 mi
Ryan Ladd, MD
Dermatology
NPI 1508494592
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare591 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D2151711

Kentucky Skin Cancer Center · Bowling Green, KY
Active · expires Feb 20, 2027
CLIA Number18D2151711
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDr. Robert L. Skaggs
Laboratory Phone(270) 842-1999
Laboratory LocationKentucky Skin Cancer Center1818 Wallace Ct, Suite 301, Bowling Green, KY 42103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Skin Cancer Center PLLC's NPI number?

The NPI number for Kentucky Skin Cancer Center PLLC is 1902302987. It was assigned to this organization in the NPPES registry on March 30, 2018.

Where is Kentucky Skin Cancer Center PLLC located?

Kentucky Skin Cancer Center PLLC is located at 1818 Wallace Court Suite 301, Bowling Green, KY 42103. The listed phone number is (270) 907-3030.

What is Kentucky Skin Cancer Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Kentucky Skin Cancer Center PLLC enrolled in Medicare?

Yes. Kentucky Skin Cancer Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentucky Skin Cancer Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Kentucky Skin Cancer Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (6) and Nurse Practitioner (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kentucky Skin Cancer Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D2151711) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kentucky Skin Cancer Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kentucky Skin Cancer Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kentucky Skin Cancer Center PLLC was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.