TALBOT DERMATOLOGY & DERMATOLOGIC SURGERY PA
NPI 1184785370
Dermatology in Easton, MD

Active since December 12, 2006CLIA 21D0931132 · Certificate of Compliance
5 CAULK LANE, SUITE 2, EASTON, MD 21601(410) 822-9890(410) 763-9536 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Talbot Dermatology & Dermatologic Surgery Pa NPPES

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

TALBOT DERMATOLOGY & DERMATOLOGIC SURGERY PA (NPI 1184785370) is a healthcare organization registered as a dermatology in Easton, Maryland and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 7, 2027 and lists David P Smack, Owner, as its authorized official.

NPPES Registry Identity

NPI1184785370
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTALBOT DERMATOLOGY & DERMATOLOGIC SURGERY PA
Location Address5 CAULK LANE, SUITE 2Easton, MD 21601
Mailing Address5 Caulk Lane, Suite 2Easton, MD 21601 · (410) 822-9890 · Fax (410) 763-9536
Fax(410) 763-9536
Organization SubpartNo
Authorized OfficialDavid P SmackOwner · (410) 822-9890
Enumeration DateDecember 12, 2006
Last NPPES UpdateNovember 4, 2009
✔ NPI 1184785370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5 CAULK LANE, Easton, MD 21601

Other Identifiers 2

Medicare PIN538MMD
Medicare UPING17961

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Talbot Dermatology & Dermatologic Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20081001000265Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Talbot Dermatology & Dermatologic Surgery PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1073501912
5 CAULK LANE SUITE 2, 2ND FLOOR
Easton, MD 21601
(410) 822-9890
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1275521114
6412 CHURCH HILL RD
Chestertown, MD 21620
(410) 810-7090
✔ PECOS30 mi

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 21D0931132

Talbot Dermatology & Dermatologic Surgery PA · Easton, MD
Active · expires Dec 7, 2027
CLIA Number21D0931132
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorDavid P. Smack MD
Laboratory Phone(410) 822-9890
Laboratory LocationTalbot Dermatology & Dermatologic Surgery PA5 Caulk Lane 2nd Floor Ste 2, P O Box 2350, Easton, MD 21601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Talbot Dermatology & Dermatologic Surgery PA's NPI number?

The NPI number for Talbot Dermatology & Dermatologic Surgery PA is 1184785370. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Talbot Dermatology & Dermatologic Surgery PA located?

Talbot Dermatology & Dermatologic Surgery PA is located at 5 Caulk Lane Suite 2, Easton, MD 21601. The listed phone number is (410) 822-9890.

What is Talbot Dermatology & Dermatologic Surgery PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Talbot Dermatology & Dermatologic Surgery PA enrolled in Medicare?

Yes. Talbot Dermatology & Dermatologic Surgery PA is registered in the Medicare PECOS enrollment system.

When is Talbot Dermatology & Dermatologic Surgery PA'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 (Maryland, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Talbot Dermatology & Dermatologic Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Talbot Dermatology & Dermatologic Surgery PA. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Talbot Dermatology & Dermatologic Surgery PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D0931132) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Talbot Dermatology & Dermatologic Surgery PA was last updated on November 4, 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.