1. Home
  2. Directory
  3. Pennsylvania
  4. Dubois
  5. Dermatology
  6. NPI Profile

DUBOIS DERMATOLOGY AND COSMETICS, LLC
NPI 1225419666
Dermatology in Dubois, PA

Active since June 11, 2015CLIA 39D2101146 · Microscopy
105 BEAVER DR, SUITE 200, DUBOIS, PA 15801(814) 371-7546 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dubois Dermatology And Cosmetics, Llc NPPES

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

DUBOIS DERMATOLOGY AND COSMETICS, LLC (NPI 1225419666) is a healthcare organization registered as a dermatology in Dubois, Pennsylvania and active in the NPI registry since June 2015. The organization holds a CLIA Microscopy certificate valid through August 27, 2027 and lists Lori Skraba, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225419666
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDUBOIS DERMATOLOGY AND COSMETICS, LLC
Location Address105 BEAVER DR, SUITE 200Dubois, PA 15801
Mailing Address105 Beaver Dr, Suite 200Dubois, PA 15801 · (814) 371-7546
Phone(814) 371-7546
Organization SubpartNo
Authorized OfficialLori SkrabaOffice Manager · (814) 371-7546
Enumeration DateJune 11, 2015
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1225419666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD453398
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.
105 BEAVER DR, Dubois, PA 15801
Open in Google Maps ↗

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)

Dubois Dermatology And Cosmetics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dubois Dermatology And Cosmetics, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lisa Pfingstler, M.D.
Dermatology
NPI 1851511471
105 BEAVER DRIVE SUITE 200
Dubois, PA 15801
(814) 371-7546
✔ PECOS✔ Accepts MedicareSame address
Mary Jacobs, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1811973894
2188 SANDY DR
State College, PA 16803
(814) 237-6600
✔ PECOS✔ Accepts Medicare50 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 for Provider-Performed Microscopy Procedures (PPMP) 39D2101146

Dubois Dermatology & Cosmetics · Dubois, PA
Active · expires Aug 27, 2027
CLIA Number39D2101146
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDr. Lisa F. Pfingstler MD
Laboratory Phone(814) 371-7546
Laboratory LocationDubois Dermatology & Cosmetics105 Beaver Drive Suite 200, Dubois, PA 15801
CLIA data matches this NPI record on: Address 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 Dubois Dermatology And Cosmetics, LLC's NPI number?

The NPI number for Dubois Dermatology And Cosmetics, LLC is 1225419666. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Dubois Dermatology And Cosmetics, LLC located?

Dubois Dermatology And Cosmetics, LLC is located at 105 Beaver Dr Suite 200, Dubois, PA 15801. The listed phone number is (814) 371-7546.

What is Dubois Dermatology And Cosmetics, LLC's specialty?

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

Is Dubois Dermatology And Cosmetics, LLC enrolled in Medicare?

Yes. Dubois Dermatology And Cosmetics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dubois Dermatology And Cosmetics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dubois Dermatology And Cosmetics, LLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). 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 Dubois Dermatology And Cosmetics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D2101146) is associated with this NPI, valid through August 27, 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 Dubois Dermatology And Cosmetics, LLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.