ADVANCED SKIN CENTER
NPI 1407055437
Dermatology - Clinical & Laboratory Dermatological Immunology in Roseburg, OR

Active since July 11, 2007CLIA 38D1028702 · Certificate of Compliance
1813 W HARVARD AVE STE 310, ROSEBURG, OR 97471(541) 672-7546(541) 957-8446 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Skin Center NPPES

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

ADVANCED SKIN CENTER (NPI 1407055437) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Roseburg, Oregon and active in the NPI registry since July 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 2, 2028 and lists Paul D Reicherter, President, as its authorized official.

NPPES Registry Identity

NPI1407055437
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NamePAUL D. REICHERTER, MD, PC
Location Address1813 W HARVARD AVE STE 310Roseburg, OR 97471-2756
Mailing Address1813 W Harvard Ave Ste 310Roseburg, OR 97471-2756 · (541) 672-7546 · Fax (541) 957-8446
Fax(541) 957-8446
Organization SubpartNo
Authorized OfficialPaul D ReicherterPresident · (541) 672-7546
Enumeration DateJuly 11, 2007
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1407055437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in OR · MD23536
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
Also ListedDermatologyTaxonomy 207N00000X · License MD23536 (OR)
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD23536 (OR)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License MD23536 (OR)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD23536 (OR)
1813 W HARVARD AVE STE 310, Roseburg, OR 97471

Other Names 1

Other NameAdvanced Skin Center

Other Identifiers 7

Other286785OR · Ohp
OtherDC5977Medicare Railroad
Other38D1028702OR · Clia
Medicare UPINH50692OR
Other838392000OR · Bcbs
Medicaid286785OR
Medicare PINR120005OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)

Advanced Skin Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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
StateOregonEnrollment IDO20040817000008Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Skin Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Dermatology
NPI 1053379826
1813 W HARVARD AVE STE 310
Roseburg, OR 97471
(541) 672-7546
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770986051
1813 W HARVARD AVE STE 310
Roseburg, OR 97471
(541) 672-7546
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1073164927
720 SE 160TH AVE
Vancouver, WA 98684
(503) 512-5995
✔ PECOS171 mi
Dermatology
NPI 1265795660
4664 N PENNGROVE WAY STE 100
Meridian, ID 83646
(208) 898-7467
✔ PECOS✔ Accepts Medicare351 mi
Dermatology
NPI 1619003282
3860 BLACKHAWK RD STE 140
Danville, CA 94506
(925) 837-6000
✔ PECOS✔ Accepts Medicare381 mi
Dermatology
NPI 1598086720
169 N GATEWAY DR STE 100
Providence, UT 84332
(541) 999-4475
✔ PECOS✔ Accepts Medicare598 mi
Dermatology
NPI 1396847182
5333 HOLLISTER AVE STE 105
Santa Barbara, CA 93111
(805) 770-8400
✔ PECOS✔ Accepts Medicare635 mi
Dermatology
NPI 1619052248
800 N TUSTIN AVE SUITE G
Santa Ana, CA 92705
(714) 547-6111
✔ PECOS✔ Accepts Medicare718 mi
Dermatology
NPI 1730382581
2331 SEMINOLE LANE SUITE 102
Charlottesville, VA 22901
(434) 244-0162
✔ PECOS✔ Accepts Medicare2,358 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 38D1028702

Advanced Skin Center · Roseburg, OR
Active · expires Nov 2, 2028
CLIA Number38D1028702
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2026
Certificate Expiration DateNovember 2, 2028
Laboratory DirectorDr. Paul D. Reicherter
Laboratory Phone(541) 672-7546
Laboratory LocationAdvanced Skin Center1813 W Harvard Suite 310, Roseburg, OR 97471
CLIA data matches this NPI record on: 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 Paul D. Reicherter, MD, PC's NPI number?

The NPI number for Paul D. Reicherter, MD, PC is 1407055437. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is also known as Advanced Skin Center.

Where is Paul D. Reicherter, MD, PC located?

Paul D. Reicherter, MD, PC is located at 1813 W Harvard Ave Ste 310, Roseburg, OR 97471. The listed phone number is (541) 672-7546.

What is Paul D. Reicherter, MD, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Is Paul D. Reicherter, MD, PC enrolled in Medicare?

Yes. Paul D. Reicherter, MD, PC is registered in the Medicare PECOS enrollment system.

When is Paul D. Reicherter, MD, PC'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 (Oregon, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Paul D. Reicherter, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Paul D. Reicherter, MD, PC. 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 (7) and Nurse Practitioner (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Paul D. Reicherter, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 38D1028702) is associated with this NPI, valid through November 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Paul D. Reicherter, MD, PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Paul D. Reicherter, MD, PC 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 Paul D. Reicherter, MD, PC was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.