PETERSON DERMATOLOGY, S.C.
NPI 1023406493
Dermatology in Dodgeville, WI
About Peterson Dermatology, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETERSON DERMATOLOGY, S.C. (NPI 1023406493) is a healthcare organization registered as a dermatology in Dodgeville, Wisconsin and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Jennifer S Peterson, Dermatologist, 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)
Peterson Dermatology, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peterson Dermatology, S.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Waiver 52D2147489
Peterson Dermatology Sc · Dodgeville, WIFrequently 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 Peterson Dermatology, S.C.'s NPI number?
The NPI number for Peterson Dermatology, S.C. is 1023406493. It was assigned to this organization in the NPPES registry on January 7, 2015.
Where is Peterson Dermatology, S.C. located?
Peterson Dermatology, S.C. is located at 1204 Joseph St # 2, Dodgeville, WI 53533. The listed phone number is (608) 574-5044.
What is Peterson Dermatology, S.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Peterson Dermatology, S.C. enrolled in Medicare?
Yes. Peterson Dermatology, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peterson Dermatology, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Peterson Dermatology, S.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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peterson Dermatology, S.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2147489) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peterson Dermatology, S.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Peterson Dermatology, S.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 Peterson Dermatology, S.C. was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.