ON SITE DERMATOLOGY OF COLORADO PLLC
NPI 1073856050
Dermatology in Salida, CO
About On Site Dermatology Of Colorado Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ON SITE DERMATOLOGY OF COLORADO PLLC (NPI 1073856050) is a healthcare organization registered as a dermatology in Salida, Colorado and active in the NPI registry since March 2013. The organization lists Adam S Plotkin, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
On Site Dermatology Of Colorado Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to On Site Dermatology Of Colorado PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 On Site Dermatology Of Colorado PLLC's NPI number?
The NPI number for On Site Dermatology Of Colorado PLLC is 1073856050. It was assigned to this organization in the NPPES registry on March 28, 2013.
Where is On Site Dermatology Of Colorado PLLC located?
On Site Dermatology Of Colorado PLLC is located at 515 E 1st St, Salida, CO 81201. The listed phone number is (877) 345-5300.
What is On Site Dermatology Of Colorado PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is On Site Dermatology Of Colorado PLLC enrolled in Medicare?
Yes. On Site Dermatology Of Colorado PLLC is registered in the Medicare PECOS enrollment system.
When is On Site Dermatology Of Colorado PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through On Site Dermatology Of Colorado PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to On Site Dermatology Of Colorado 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. The largest specialties are Dermatology (4) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for On Site Dermatology Of Colorado PLLC was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# On Site Dermatology Of Colorado Pllc · NPI 1073856050
Dermatology organization in Salida, Colorado. Organization record, active in the CMS NPPES registry since March 28, 2013.
## Identity
- **NPI:** 1073856050 (Entity type: Organization)
- **Enumerated:** March 28, 2013
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Adam Plotkin, MANAGER
## Practice location
- **Address:** 515 E 1ST ST, Salida, CO 81201-2805
- **Phone:** (877) 345-5300 · **Fax:** (561) 989-3665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073856050) · Data from the CMS NPPES public registry.