AESTHETIC DERMATOLOGIC SURGERY
NPI 1982897450
Dermatology - MOHS-Micrographic Surgery in Saint Louis, MO

Q: What is Aesthetic Dermatologic Surgery's NPI number?

The NPI number for Aesthetic Dermatologic Surgery is 1982897450. It was assigned to this organization in the NPPES registry on August 19, 2007.

Q: What is Aesthetic Dermatologic Surgery's specialty?

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

Active since August 19, 2007

9717 LANDMARK PARKWAY DR, SUITE 115, SAINT LOUIS, MO 63127(314) 849-7546(314) 849-7558 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Aesthetic Dermatologic Surgery NPPES

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

AESTHETIC DERMATOLOGIC SURGERY (NPI 1982897450) is a healthcare organization registered as a mohs-micrographic surgery in Saint Louis, Missouri and active in the NPI registry since August 2007. The organization lists Erin Scott Gardner, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1982897450

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameAESTHETIC DERMATOLOGIC SURGERY

Location Address9717 LANDMARK PARKWAY DR, SUITE 115Saint Louis, MO 63127-1628

Mailing AddressPo Box 270686Saint Louis, MO 63127-0686 · (314) 849-7546 · Fax (314) 849-7558

Phone(314) 849-7546

Fax(314) 849-7558

Organization SubpartNo

Authorized OfficialErin Scott GardnerPhysician/owner · (314) 849-7546

Enumeration DateAugust 19, 2007

Last NPPES UpdateAugust 27, 2009

✔ NPI 1982897450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in MO · 2001005039

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.

Also ListedDermatologyTaxonomy 207N00000X · License 2001005039 (MO)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 2001005039 (MO)

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 2001005039 (MO)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 2001005039 (MO)

9717 LANDMARK PARKWAY DR, Saint Louis, MO 63127

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Other Identifiers 3

Medicare PIN000013522

Medicare PIN000013523

Medicare UPINH23275

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aesthetic Dermatologic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMissouriEnrollment IDO20050908000202Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aesthetic Dermatologic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Erin Gardner, M.D.

Dermatology

NPI 1285630061

3009 N BALLAS RD STE 300A
Saint Louis, MO 63131

(314) 997-7546

✔ PECOS✔ Accepts Medicare7.9 mi

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

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 Aesthetic Dermatologic Surgery's NPI number?

The NPI number for Aesthetic Dermatologic Surgery is 1982897450. It was assigned to this organization in the NPPES registry on August 19, 2007.

Where is Aesthetic Dermatologic Surgery located?

Aesthetic Dermatologic Surgery is located at 9717 Landmark Parkway Dr Suite 115, Saint Louis, MO 63127. The listed phone number is (314) 849-7546.

What is Aesthetic Dermatologic Surgery's specialty?

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

Is Aesthetic Dermatologic Surgery enrolled in Medicare?

Yes. Aesthetic Dermatologic Surgery is registered in the Medicare PECOS enrollment system.

When is Aesthetic Dermatologic Surgery's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Aesthetic Dermatologic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Aesthetic Dermatologic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aesthetic Dermatologic Surgery accept?

Health plans from Anthem Blue Cross and Blue Shield list Aesthetic Dermatologic Surgery 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 Aesthetic Dermatologic Surgery was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.