EYRE DERMATOLOGY CLINIC, P.C.
NPI 1013915867
Specialist in Orem, UT
About Eyre Dermatology Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYRE DERMATOLOGY CLINIC, P.C. (NPI 1013915867) is a healthcare organization registered as a specialist in Orem, Utah and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through October 4, 2027 and lists Russell Warren Eyre, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eyre Dermatology Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Eyre Dermatology Clinic, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 46D0525455
Eyre Dermatology Clinic · Orem, UTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eyre Dermatology Clinic, P.C.'s NPI number?
The NPI number for Eyre Dermatology Clinic, P.C. is 1013915867. It was assigned to this organization in the NPPES registry on July 13, 2005.
Where is Eyre Dermatology Clinic, P.C. located?
Eyre Dermatology Clinic, P.C. is located at 486 W 800 N Suite 201, Orem, UT 84057. The listed phone number is (801) 431-0300.
What is Eyre Dermatology Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Eyre Dermatology Clinic, P.C. enrolled in Medicare?
Yes. Eyre Dermatology Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eyre Dermatology Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Eyre Dermatology Clinic, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eyre Dermatology Clinic, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 46D0525455) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eyre Dermatology Clinic, P.C. accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Eyre Dermatology Clinic, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eyre Dermatology Clinic, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eyre Dermatology Clinic, P.c. · NPI 1013915867
Specialist organization in Orem, Utah. Organization record, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1013915867 (Entity type: Organization)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Russell Eyre, PRESIDENT
## Practice location
- **Address:** 486 W 800 N, SUITE 201, Orem, UT 84057-3728
- **Phone:** (801) 431-0300 · **Fax:** (801) 431-0312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013915867) · Data from the CMS NPPES public registry.