St. Louis Dermatology ranks No. 2219 on 2026 Inc. 5000 list

St. Louis Dermatology & Cosmetic Surgery landed at No. 2219 on the 2026 Inc. 5000, marking its second straight year on the list of America’s fastest-growing private companies. The recognition follows nearly 300% revenue growth and a recent Chesterfield expansion that broadened access to Mohs surgery and cosmetic dermatology in West St. Louis County.

Why it matters: - The Inc. 5000 ranking puts St. Louis Dermatology & Cosmetic Surgery among the country’s fastest-growing private companies. - The recognition reflects rapid expansion in a healthcare market where access, specialist availability, and local convenience directly affect patient care. - The practice’s Chesterfield office gives West St. Louis County patients new access to Mohs surgery, laser rejuvenation, and cosmetic dermatology closer to home.

What happened: - St. Louis Dermatology & Cosmetic Surgery ranked No. 2219 on the 2026 Inc. 5000 list. - The practice said it posted nearly 300% revenue growth. - From 2021 to 2025, the company had a compound annual growth rate of 36.0%. - This is the practice’s second straight year on the Inc. 5000 list. - St. Louis Dermatology & Cosmetic Surgery first appeared on the list in 2025 at No. 1651. - Founder Dr. Brandon T. Beal said the repeat ranking reflects the team’s focus on patient care, staff investment and long-term growth.

The details: - The practice opened a recent expansion in Chesterfield, Missouri. - In July, Dr. Laura Wagner joined the practice. - The Chesterfield location adds Mohs surgery, non-invasive laser rejuvenation and full-service cosmetic dermatology for West St. Louis County patients. - Dr. Beal and Dr. Wagner will see patients side by side over the next year as the practice transitions to St. Louis Dermatology & Cosmetic Surgery ownership. - St. Louis Dermatology & Cosmetic Surgery was founded in 2020. - The company started as a single-provider office in Jacksonville, Florida. - The practice now operates three locations in two states. - The team serves thousands of patients with board-certified dermatologists, physician assistants and nurse practitioners. - Inc. said the 2026 list ranks companies by percentage revenue growth from 2022 to 2025. - To qualify, companies had to be founded and generating revenue by March 31, 2022, be U.S.-based, privately held, for-profit and independent as of Dec. 31, 2025. - Inc. said the 2026 list required at least $100,000 in 2022 revenue and $2 million in 2025 revenue.

Between the lines: - The Chesterfield move appears to be a key growth driver, not just a geographic expansion. - Adding multiple service lines in one new office suggests the practice is trying to capture more patient demand in a single market. - Inc. noted that the median three-year revenue growth rate for the 5,000 companies was 130% and that the honorees added more than 627,208 jobs over the past three years.

What's next: - Dr. Beal and Dr. Wagner will continue seeing patients together during the ownership transition over the next year. - Inc. will honor the 2026 class at its conference and gala Oct. 14-16 in Dallas. - The top 500 companies from the list will appear in the fall issue of Inc. Magazine. - Patients can schedule appointments or get more information at the practice’s website or by calling (314) 834-1400.

The bottom line: - St. Louis Dermatology & Cosmetic Surgery is turning regional expansion into national recognition, with a second straight Inc. 5000 appearance signaling sustained growth.