ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
NPI 1073528733
Dermatology - Procedural Dermatology in Mansfield, OH
About Advanced Dermatology Of North Central Ohio Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC (NPI 1073528733) is a healthcare organization registered as a procedural dermatology in Mansfield, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 13, 2028 and lists Christ John Ticoras, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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)
Advanced Dermatology Of North Central Ohio Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Advanced Dermatology Of North Central Ohio Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (14)
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 36D0962642
Advanced Dermatology Of Nc Ohio Inc · Mansfield, OHFrequently 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 Advanced Dermatology Of North Central Ohio Inc's NPI number?
The NPI number for Advanced Dermatology Of North Central Ohio Inc is 1073528733. It was assigned to this organization in the NPPES registry on July 30, 2006.
Where is Advanced Dermatology Of North Central Ohio Inc located?
Advanced Dermatology Of North Central Ohio Inc is located at 770 Balgreen Dr Ste 201, Mansfield, OH 44906. The listed phone number is (419) 756-1600.
What is Advanced Dermatology Of North Central Ohio Inc's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Advanced Dermatology Of North Central Ohio Inc enrolled in Medicare?
Yes. Advanced Dermatology Of North Central Ohio Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology Of North Central Ohio Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of North Central Ohio Inc. 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. The largest specialties are Dermatology (9) and Nurse Practitioner (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Dermatology Of North Central Ohio Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 36D0962642) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Advanced Dermatology Of North Central Ohio Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Advanced Dermatology Of North Central Ohio Inc 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 Advanced Dermatology Of North Central Ohio Inc was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Advanced Dermatology Of North Central Ohio Inc · NPI 1073528733
Procedural Dermatology organization in Mansfield, Ohio. Organization record, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1073528733 (Entity type: Organization)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Also known as:** ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Christ Ticoras, OWNER/PRESIDENT
## Practice location
- **Address:** 770 BALGREEN DR, STE 201, Mansfield, OH 44906-4106
- **Phone:** (419) 756-1600 · **Fax:** (419) 775-1196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (5) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2026
- **Other identifiers:** Medicaid 2251316 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073528733) · Data from the CMS NPPES public registry.