FOREFRONT DERMATOLOGY, S.C.
NPI 1225473713
Dermatology in Mequon, WI

Active since May 09, 2013CLIA 52D0391078 · Microscopy
10303 N PORT WASHINGTON RD STE 101, MEQUON, WI 53092(262) 240-0440(262) 240-0441 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1225473713) is a healthcare organization registered as a dermatology in Mequon, Wisconsin and active in the NPI registry since May 2013. The organization holds a CLIA Microscopy certificate valid through September 12, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1225473713
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address10303 N PORT WASHINGTON RD STE 101Mequon, WI 53092
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9010 · Fax (920) 663-9012
Fax(262) 240-0441
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateMay 9, 2013
Last NPPES UpdateMay 17, 20182 updates tracked since enumeration
✔ NPI 1225473713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
10303 N PORT WASHINGTON RD STE 101, Mequon, WI 53092

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

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)

Forefront Dermatology, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Forefront Dermatology, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology40
Pathology10
Nurse Practitioner7
Micrographic Dermatologic Surgery (MDS)2
Physician Assistant1

Nearest to this location (20)

See all 60
Dermatology
NPI 1144319104
10303 N PORT WASHINGTON RD SUITE 101
Mequon, WI 53092
(262) 240-0440
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1821047283
7040 N PORT WASHINGTON RD SUITE 404
Glendale, WI 53217
(414) 355-2405
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1598188138
1245 CHEYENNE AVE SUITE 301
Grafton, WI 53024
(262) 377-2222
✔ PECOS✔ Accepts Medicare7.9 mi
Dermatology
NPI 1780030825
2600 N MAYFAIR RD STE 810
Milwaukee, WI 53226
(414) 771-1122
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1770748303
735 N WATER ST STE 830
Milwaukee, WI 53202
(414) 276-1222
✔ PECOS✔ Accepts Medicare12 mi
Dermatology
NPI 1295268282
10500 W LOOMIS RD STE 110
Franklin, WI 53132
(262) 898-4400
✔ PECOS✔ Accepts Medicare23 mi
Dermatology
NPI 1225411481
1320 PABST FARMS CIR UNIT 180
Oconomowoc, WI 53066
(262) 560-0322
✔ PECOS✔ Accepts Medicare29 mi
Dermatology
NPI 1649277658
1300 S GREEN BAY RD STE 100
Mount Pleasant, WI 53406
(262) 619-4191
✔ PECOS✔ Accepts Medicare34 mi
Dermatology
NPI 1285976209
1300 S GREEN BAY RD STE 100
Mount Pleasant, WI 53406
(262) 619-4191
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1912882853
1300 S GREEN BAY RD STE 100
Mount Pleasant, WI 53406
(262) 619-4191
✔ PECOS✔ Accepts Medicare34 mi
Dermatology
NPI 1063602811
1440 N 25TH ST
Sheboygan, WI 53081
(920) 457-9100
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1962811679
1440 N 25TH ST
Sheboygan, WI 53081
(920) 457-9100
✔ PECOS✔ Accepts Medicare39 mi
Dermatology
NPI 1699924100
8501 75TH ST STE J
Kenosha, WI 53142
(262) 697-8030
✔ PECOS✔ Accepts Medicare44 mi
Pathology
NPI 1073958906
7809 100TH ST
Pleasant Prairie, WI 53158
(262) 345-2358
✔ PECOS✔ Accepts Medicare47 mi
Pathology
NPI 1306230503
7809 100TH ST
Pleasant Prairie, WI 53158
(262) 345-2358
✔ PECOS✔ Accepts Medicare47 mi
Pathology
NPI 1083903058
7809 100TH ST
Pleasant Prairie, WI 53158
(262) 345-2358
✔ PECOS✔ Accepts Medicare47 mi
Pathology
NPI 1821674532
7809 100TH ST
Pleasant Prairie, WI 53158
(262) 345-2358
✔ PECOS✔ Accepts Medicare47 mi
Physician Assistant
NPI 1225522733
109 WARREN ST STE 1
Beaver Dam, WI 53916
(920) 885-2622
✔ PECOS✔ Accepts Medicare48 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1891779179
1515 RANDOLPH CT
Manitowoc, WI 54220
(920) 683-5278
✔ PECOS✔ Accepts Medicare61 mi
Nurse Practitioner
NPI 1881306280
1620 N SHAWANO ST STE C
New London, WI 54961
(920) 982-3870
✔ PECOS✔ Accepts Medicare92 mi
See all 60 clinicians

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) 52D0391078

Forefront Dermatology, Sc · Mequon, WI
Active · expires Sep 12, 2028
CLIA Number52D0391078
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2026
Certificate Expiration DateSeptember 12, 2028
Laboratory DirectorDr. Anthony Bonfiglio
Laboratory Phone(262) 240-0440
Laboratory LocationForefront Dermatology, Sc10303 N Port Washington Rd, Ste 101, Mequon, WI 53092
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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1225473713. It was assigned to this organization in the NPPES registry on May 9, 2013.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 10303 N Port Washington Rd Ste 101, Mequon, WI 53092. The listed phone number is (262) 240-0440.

What is Forefront Dermatology, S.C.'s specialty?

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

Is Forefront Dermatology, S.C. enrolled in Medicare?

Yes. Forefront Dermatology, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forefront Dermatology, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 5 Medicare specialties reassign their Medicare billing to Forefront Dermatology, S.C.. 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 Dermatology (40), Pathology (10) and Nurse Practitioner (7). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0391078) is associated with this NPI, valid through September 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Cigna HealthCare of Arizona, Inc and Cigna HealthCare of Florida, Inc. and 3 other insurers list Forefront Dermatology, S.C. 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 Forefront Dermatology, S.C. was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.