LEXINGTON-WALTHAM DERMATOLOGY GROUP INC
NPI 1255463972
Specialist in Lexington, MA
About Lexington-waltham Dermatology Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEXINGTON-WALTHAM DERMATOLOGY GROUP INC (NPI 1255463972) is a healthcare organization registered as a specialist in Lexington, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through November 18, 2027 and lists Samuel D Goos, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Lexington-waltham Dermatology Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Lexington-Waltham Dermatology Group Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Lexington, MA 02420
San Diego, CA 92134
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) 22D1019451
Lexington-Waltham Dermatology Group PC · Lexington, MAFrequently 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 Lexington-Waltham Dermatology Group Inc's NPI number?
The NPI number for Lexington-Waltham Dermatology Group Inc is 1255463972. It was assigned to this organization in the NPPES registry on March 9, 2007.
Where is Lexington-Waltham Dermatology Group Inc located?
Lexington-Waltham Dermatology Group Inc is located at 57 Bedford St Ste 201, Lexington, MA 02420. The listed phone number is (781) 862-2322.
What is Lexington-Waltham Dermatology Group Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lexington-Waltham Dermatology Group Inc enrolled in Medicare?
Yes. Lexington-Waltham Dermatology Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lexington-Waltham Dermatology Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Lexington-Waltham Dermatology Group Inc. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lexington-Waltham Dermatology Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1019451) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lexington-Waltham Dermatology Group Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Lexington-Waltham Dermatology Group Inc 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 Lexington-Waltham Dermatology Group Inc was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.