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GUSTOVICH DERMATOLOGY, PLLC
NPI 1063394385
Dermatology in Frisco, TX

Active since July 25, 2025CLIA 45D2335823 · Microscopy
13192 DALLAS PKWY STE 620, FRISCO, TX 75033(972) 668-3376(972) 668-3376 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gustovich Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTOVICH DERMATOLOGY, PLLC (NPI 1063394385) is a healthcare organization registered as a dermatology in Frisco, Texas and active in the NPI registry since July 2025. The organization holds a CLIA Microscopy certificate valid through December 17, 2027 and lists Carla Gustovich, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1063394385
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGUSTOVICH DERMATOLOGY, PLLC
Location Address13192 DALLAS PKWY STE 620Frisco, TX 75033-4248
Mailing Address13192 Dallas Pkwy Ste 620Frisco, TX 75033-4248 · (972) 668-3376
Phone(972) 668-3376
Fax(972) 668-3376
Organization SubpartNo
Authorized OfficialCarla GustovichOwner/physician · (214) 336-8849
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1063394385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
13192 DALLAS PKWY STE 620, Frisco, TX 75033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustovich Dermatology, Pllc 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 Gustovich Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carla Gustovich, MD
Dermatology
NPI 1003981044
13192 DALLAS PKWY STE 620
Frisco, TX 75033
(972) 668-3376
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2335823

Gustovich Dermatology, PLLC · Frisco, TX
Active · expires Dec 17, 2027
CLIA Number45D2335823
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorCarla A. Gustovich
Laboratory Phone(214) 618-7378
Laboratory LocationGustovich Dermatology, PLLC13192 Dallas Pkwy Suite 620, Frisco, TX 75033
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 Gustovich Dermatology, PLLC's NPI number?

The NPI number for Gustovich Dermatology, PLLC is 1063394385. It was assigned to this organization in the NPPES registry on July 25, 2025.

Where is Gustovich Dermatology, PLLC located?

Gustovich Dermatology, PLLC is located at 13192 Dallas Pkwy Ste 620, Frisco, TX 75033. The listed phone number is (972) 668-3376.

What is Gustovich Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Gustovich Dermatology, PLLC enrolled in Medicare?

Yes. Gustovich Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gustovich Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Gustovich Dermatology, PLLC. 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 Gustovich Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2335823) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gustovich Dermatology, PLLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.