DERMATOLOGY CLINIC PLLC
NPI 1134467962
Specialist in Mercer Island, WA
About Dermatology Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY CLINIC PLLC (NPI 1134467962) is a healthcare organization registered as a specialist in Mercer Island, Washington and active in the NPI registry since January 2013. The organization lists Kyle J Garton, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Dermatology Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dermatology Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Dermatology Clinic PLLC's NPI number?
The NPI number for Dermatology Clinic PLLC is 1134467962. It was assigned to this organization in the NPPES registry on January 29, 2013.
Where is Dermatology Clinic PLLC located?
Dermatology Clinic PLLC is located at 7707 SE 27th St Suite 104, Mercer Island, WA 98040. The listed phone number is (206) 852-4339.
What is Dermatology Clinic PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dermatology Clinic PLLC enrolled in Medicare?
Yes. Dermatology Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Clinic 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dermatology Clinic PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Dermatology Clinic PLLC 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 Dermatology Clinic PLLC was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dermatology Clinic Pllc · NPI 1134467962
Specialist organization in Mercer Island, Washington. Organization record, active in the CMS NPPES registry since January 29, 2013.
## Identity
- **NPI:** 1134467962 (Entity type: Organization)
- **Enumerated:** January 29, 2013
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Kyle Garton, OWNER
## Practice location
- **Address:** 7707 SE 27TH ST, SUITE 104, Mercer Island, WA 98040-2844
- **Phone:** (206) 852-4339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1134467962) · Data from the CMS NPPES public registry.