ON SITE DERMATOLOGY OF PENNSYLVANIA PLLC
NPI 1114369873
Dermatology in Lower Gwynedd, PA
About On Site Dermatology Of Pennsylvania Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ON SITE DERMATOLOGY OF PENNSYLVANIA PLLC (NPI 1114369873) is a healthcare organization registered as a dermatology in Lower Gwynedd, Pennsylvania and active in the NPI registry since July 2013. The organization lists Adam S Plotkin, President, 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 Pennsylvania Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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
10Medicare enrollment records show 10 clinicians reassign Medicare billing to On Site Dermatology Of Pennsylvania PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Pennsylvania PLLC's NPI number?
The NPI number for On Site Dermatology Of Pennsylvania PLLC is 1114369873. It was assigned to this organization in the NPPES registry on July 23, 2013.
Where is On Site Dermatology Of Pennsylvania PLLC located?
On Site Dermatology Of Pennsylvania PLLC is located at 728 Norristown Rd, Lower Gwynedd, PA 19002. The listed phone number is (877) 345-5300.
What is On Site Dermatology Of Pennsylvania PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is On Site Dermatology Of Pennsylvania PLLC enrolled in Medicare?
Yes. On Site Dermatology Of Pennsylvania PLLC is registered in the Medicare PECOS enrollment system.
When is On Site Dermatology Of Pennsylvania 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 (Pennsylvania, Clinic/Group Practice) is due for revalidation by January 31, 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 Pennsylvania PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to On Site Dermatology Of Pennsylvania 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 Nurse Practitioner (6) and Dermatology (4). Of these, 1 practice at this address and 2 within 10 miles. 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 Pennsylvania PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# On Site Dermatology Of Pennsylvania Pllc · NPI 1114369873
Dermatology organization in Lower Gwynedd, Pennsylvania. Organization record, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1114369873 (Entity type: Organization)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Adam Plotkin, PRESIDENT
## Practice location
- **Address:** 728 NORRISTOWN RD, Lower Gwynedd, PA 19002-2125
- **Phone:** (877) 345-5300 · **Fax:** (561) 989-3665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Dermatology (4); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114369873) · Data from the CMS NPPES public registry.