MICHAEL LOOSEMORE M.D. NPI 1063619146

NPI Information

  • NPI: 1063619146
  • Provider Name: MICHAEL LOOSEMORE, M.D.
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3455 MAIN ST STE 5
    NEW ENGLAND DERMATOLOGY & LASER CENTER
    SPRINGFIELD, MA
    ZIP 01107
  • Phone: (413) 733-9600

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NPI Details

Michael Loosemore, M.D. is a mohs-micrographic surgery dermatology in Springfield, MA with 19 years of experience. The provider is 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. Michael Loosemore, M.D. NPI is 1063619146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2007

The provider's business location address is:

3455 MAIN ST STE 5
NEW ENGLAND DERMATOLOGY & LASER CENTER
SPRINGFIELD, MA
ZIP 01107-147
Phone: (413) 733-9600
Fax: (413) 732-6534

The NPI 1063619146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Strapping, unna boot (HCPCS:29580)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal and microscopic exam of growth, each additional block after 5 tissue blocks (HCPCS:17315)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less (HCPCS:13133)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Complicated repair of wound of trunk, each additional 5.0 cm or less (HCPCS:13102)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/2/2007 and was last updated on 8/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology258043MASSACHUSETTSNo
2207ND0101XDermatologyMOHS-Micrographic Surgery258043MASSACHUSETTSYes
3207NS0135XDermatologyProcedural Dermatology258043MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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