DR. LEE S PORTNOFF (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1043214505
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for DR. LEE S PORTNOFF (M.D.)
4 DUNLEITH DR
SAINT LOUIS, MO 631241895
Phone: (314) 705-0644
Type: Mailing
3009, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States
STE 310A
SAINT LOUIS, MO 631312353
Phone: (314) 993-2909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100105000640 | I | Dermatology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 243 | 191 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 123 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 206 | 125 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 151 | 86 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 137 | 71 | $0 |
Insurance plans in this area (ZIP 63124)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | TX | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| - | MO | |
| D E R M A T O L O G Y | MO |
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