LIANA H PROFFER (MD) – MOHS-Micrographic Surgery Physician, NPI 1891770046

LIANA H PROFFER (MD) is a healthcare provider. based in Amarillo, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. K6910 (TX). The NPI Number for LIANA H PROFFER (MD) is 1891770046

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LIANA H PROFFER (MD)
NPI
1891770046
Phone
(806) 354-4900
Address
1611 WALLACE BLVD
Enumeration Date
9 December 2005
Last Update Date
10 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
7719931062
Group Practice PAC ID
3678579232
Professional Enrollment ID
I20061005000085
Address ID
TX791061799AM1611XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for LIANA H PROFFER (MD)

  • Wallace Boulevard, Amarillo, Potter County, Texas, 79120, United States

    AMARILLO, TX 791061799

    Phone: (806) 354-4900

    Fax: (806) 352-4987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bioventus LLC ($146).

Total Amount

$344

General + Research + Ownership

Payments

25

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-10-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061005000085IDermatologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q4121Theraskin, per square centimeter1,56137$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks604304$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks546366$0
Q4187Epicord, per square centimeter52823$0
11102Biopsy of related skin growth, first growth180136$0
View full utilization report →

Insurance plans in this area (ZIP 79106)

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Provider's Procedures

LIANA H PROFFER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue5732
DERMATOLOGYTX17003Destruction of 2-14 skin growths11016

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678579232View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
Nurse PractitionerTX
Plastic And Reconstructive SurgeryTX
Ophthalmology, Plastic And Reconstructive SurgeryTX

Reviews

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Frequently asked questions

How do payers reference LIANA H PROFFER (MD)?
For LIANA H PROFFER (MD), use NPI 1891770046 as the unique 10-digit identifier.
Is there an active status for LIANA H PROFFER (MD)?
For scheduling context, LIANA H PROFFER (MD) is shown as active in the registry.
How would a patient describe LIANA H PROFFER (MD)'s focus?
For LIANA H PROFFER (MD), the primary taxonomy reads as MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is LIANA H PROFFER (MD) located near Amarillo?
LIANA H PROFFER (MD) currently maps to Amarillo, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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