SKIN CANCER CENTER, PLLC
NPI 1962061440
Dermatology - MOHS-Micrographic Surgery in Norman, OK

Active since June 10, 2019CLIA 37D2170367 · Certificate of Compliance
3209 24TH AVE NW, NORMAN, OK 73069(405) 865-4040(405) 865-4041 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, Jun 10, 2019 (2 updates tracked since 2019).

About Skin Cancer Center, Pllc NPPES

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

SKIN CANCER CENTER, PLLC (NPI 1962061440) is a healthcare organization registered as a mohs-micrographic surgery in Norman, Oklahoma and active in the NPI registry since June 2019. The organization holds a CLIA Certificate of Compliance certificate valid through March 28, 2027 and lists Benjamin Bigbie, Member, as its authorized official.

NPPES Registry Identity

NPI1962061440
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN CANCER CENTER, PLLC
Location Address3209 24TH AVE NWNorman, OK 73069-6738
Mailing AddressPo Box 720067Norman, OK 73070-4051 · (405) 865-4040 · Fax (405) 865-4041
Fax(405) 865-4041
Organization SubpartNo
Authorized OfficialBenjamin BigbieMember · (405) 865-4040
Enumeration DateJune 10, 2019
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1962061440 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.
3209 24TH AVE NW, Norman, OK 73069

Other Identifiers 1

Medicaid1104262526OK

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to 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 (3)

Dermatology
NPI 1104262526
3209 24TH AVE NW
Norman, OK 73069
(405) 865-4040
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1831149210
2410 N COMMERCE ST
Ardmore, OK 73401
(580) 226-0812
✔ PECOS✔ Accepts Medicare75 mi
Dermatology
NPI 1497791578
2410 N COMMERCE
Ardmore, OK 73401
(580) 276-0812
✔ PECOS✔ Accepts Medicare75 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 37D2170367

Skin Cancer Center, PLLC · Norman, OK
Active · expires Mar 28, 2027
CLIA Number37D2170367
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorBenjamin J. Bigbie
Laboratory Phone(405) 865-4040
Laboratory LocationSkin Cancer Center, PLLC3209 24th Ave NW, Norman, OK 73069
CLIA data matches this NPI record on: Address Name Phone
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 Skin Cancer Center, PLLC's NPI number?

The NPI number for Skin Cancer Center, PLLC is 1962061440. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is Skin Cancer Center, PLLC located?

Skin Cancer Center, PLLC is located at 3209 24th Ave NW, Norman, OK 73069. The listed phone number is (405) 865-4040.

What is 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 Skin Cancer Center, PLLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Skin Cancer Center, PLLC, in Dermatology and General Surgery. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Compliance (number 37D2170367) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skin Cancer Center, PLLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.