HIGH PLAINS DERMATOLOGY CENTER, P.A.
NPI 1083667117
Specialist in Amarillo, TX

Active since May 18, 2006
4302 WOLFLIN AVE, AMARILLO, TX 79106(806) 355-9866(806) 355-4004 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About High Plains Dermatology Center, P.a. NPPES

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

HIGH PLAINS DERMATOLOGY CENTER, P.A. (NPI 1083667117) is a healthcare organization registered as a specialist in Amarillo, Texas and active in the NPI registry since May 2006. The organization lists Ronald Hague, Admin, as its authorized official.

NPPES Registry Identity

NPI1083667117
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHIGH PLAINS DERMATOLOGY CENTER, P.A.
Location Address4302 WOLFLIN AVEAmarillo, TX 79106-5959
Mailing Address4302 Wolflin AveAmarillo, TX 79106-5959 · (806) 355-9866 · Fax (806) 355-4004
Fax(806) 355-4004
Organization SubpartNo
Authorized OfficialRonald HagueAdmin · (806) 355-9866
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 29, 2009
✔ NPI 1083667117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4302 WOLFLIN AVE, Amarillo, TX 79106

Other Identifiers 2

Medicare PIN00R737TX
Medicaid084882201TX

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)

High Plains Dermatology Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to High Plains Dermatology Center, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1467988352
4302 WOLFLIN AVE
Amarillo, TX 79106
(806) 355-9866
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1083932107
4302 WOLFLIN AVE
Amarillo, TX 79106
(806) 355-9866
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1790722916
4302 WOLFLIN AVE
Amarillo, TX 79106
(806) 355-9866
✔ 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) 45D0507060

High Plains Dermatology Center PA · Amarillo, TX
Expired · Oct 19, 2026
CLIA Number45D0507060
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorJason K. Jones
Laboratory Phone(806) 355-9866
Laboratory LocationHigh Plains Dermatology Center PA4302 Wolflin Ave, Amarillo, TX 79106
CLIA data matches this NPI record on: Address Name Phone
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 High Plains Dermatology Center, P.A.'s NPI number?

The NPI number for High Plains Dermatology Center, P.A. is 1083667117. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is High Plains Dermatology Center, P.A. located?

High Plains Dermatology Center, P.A. is located at 4302 Wolflin Ave, Amarillo, TX 79106. The listed phone number is (806) 355-9866.

What is High Plains Dermatology Center, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is High Plains Dermatology Center, P.A. enrolled in Medicare?

Yes. High Plains Dermatology Center, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through High Plains Dermatology Center, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to High Plains Dermatology Center, P.A.. 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, 3 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 High Plains Dermatology Center, P.A. was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.