DR. KELLY MACKENZIE MACARTHUR (MD) – MOHS-Micrographic Surgery Physician, NPI 1801234174
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. KELLY MACKENZIE MACARTHUR (MD)
4901 FOREST PARK AVE
STE 502
SAINT LOUIS, MO 631081495
Phone: (314) 362-2643
Fax: (314) 747-8693
Type: Location
660 S EUCLID AVE
CB 8123
SAINT LOUIS, MO 631101010
Phone: (314) 362-2643
Fax: (314) 747-8693
Type: Mailing
21 WESTWOOD COUNTRY CLB
SAINT LOUIS, MO 631312411
Phone: (888) 785-3376
Fax: (866) 326-6671
Type: Mailing
555 N NEW BALLAS RD STE 160
CREVE COEUR, MO 631416825
Phone: (888) 785-3376
Fax: (866) 326-6671
Type: Location
2 CARLSON PKWY N
STE 240
PLYMOUTH, MN 554474485
Phone: (763) 367-7110
Fax: (763) 317-1566
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Menarini Silicon Biosystems, Inc. ($21).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Menarini Silicon Biosystems, Inc. | $21 |
| Janssen Biotech, Inc. | $15 |
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: 2021-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190826002041 | I | Dermatology | MO | TBD |
| I20211005002342 | I | Dermatology | IL | 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 | 234 | 184 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 115 | 75 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 74 | 67 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 46 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 35 | $0 |
Insurance plans in this area (ZIP 63108)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.