CHARTER DERMATOLOGY PLLC
NPI 1043099658
Dermatology in Martinsburg, WV
About Charter Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARTER DERMATOLOGY PLLC (NPI 1043099658) is a healthcare organization registered as a dermatology in Martinsburg, West Virginia and active in the NPI registry since September 2023. The organization holds a CLIA Certificate of Compliance certificate valid through February 18, 2027 and lists Suresh Kumar Menon, Physician Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Charter Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Charter Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Romney, WV 26757
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 51D2300214
Charter Dermatology PLLC · Martinsburg, WVFrequently 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 Charter Dermatology PLLC's NPI number?
The NPI number for Charter Dermatology PLLC is 1043099658. It was assigned to this organization in the NPPES registry on September 22, 2023.
Where is Charter Dermatology PLLC located?
Charter Dermatology PLLC is located at 1008 Tavern Rd Ste 201, Martinsburg, WV 25401. The listed phone number is (301) 693-3336.
What is Charter Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Charter Dermatology PLLC enrolled in Medicare?
Yes. Charter Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charter Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Charter Dermatology PLLC, in Dermatology and Family Practice. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Charter Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 51D2300214) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Charter Dermatology PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia and WellSense Health Plan list Charter Dermatology PLLC 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 Charter Dermatology PLLC was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Charter Dermatology Pllc · NPI 1043099658
Dermatology organization in Martinsburg, West Virginia. Organization record, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1043099658 (Entity type: Organization)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Suresh Menon, PHYSICIAN PARTNER
## Practice location
- **Address:** 1008 TAVERN RD STE 201, Martinsburg, WV 25401-2859
- **Phone:** (301) 693-3336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Family Practice (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043099658) · Data from the CMS NPPES public registry.