SUMMIT MOHS DERMATOLOGY PLLC
NPI 1437022308
Dermatology - MOHS-Micrographic Surgery in Herriman, UT

Active since September 26, 2025CLIA 46D2346389 · Certificate of Compliance
5089 WEST 11800 SOUTH, SUITE 202, HERRIMAN, UT 84096(801) 980-2546 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Mohs Dermatology Pllc NPPES

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

SUMMIT MOHS DERMATOLOGY PLLC (NPI 1437022308) is a healthcare organization registered as a mohs-micrographic surgery in Herriman, Utah and active in the NPI registry since September 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 28, 2028 and lists David Cowart, Owner, as its authorized official.

NPPES Registry Identity

NPI1437022308
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSUMMIT MOHS DERMATOLOGY PLLC
Location Address5089 WEST 11800 SOUTH, SUITE 202Herriman, UT 84096
Mailing Address1500 W 4800 STaylorsville, UT 84123-4210 · (801) 980-2546
Organization SubpartNo
Authorized OfficialDavid CowartOwner · (801) 980-2546
Enumeration DateSeptember 26, 2025
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1437022308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
5089 WEST 11800 SOUTH, Herriman, UT 84096

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Mohs Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Summit Mohs Dermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Micrographic Dermatologic Surgery (MDS)
NPI 1578901047
5089 WEST 11800 SOUTH SUITE 202
Herriman, UT 84096
(801) 980-2546
✔ PECOSSame address

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 46D2346389

Summit Mohs Dermatology, PLLC · Herriman, UT
Active · expires Jun 28, 2028
CLIA Number46D2346389
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorDavid Cowart
Laboratory Phone(801) 980-2546
Laboratory LocationSummit Mohs Dermatology, PLLC5089 West 11800 South, Suite 202, Herriman, UT 84096
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 Summit Mohs Dermatology PLLC's NPI number?

The NPI number for Summit Mohs Dermatology PLLC is 1437022308. It was assigned to this organization in the NPPES registry on September 26, 2025.

Where is Summit Mohs Dermatology PLLC located?

Summit Mohs Dermatology PLLC is located at 5089 West 11800 South Suite 202, Herriman, UT 84096. The listed phone number is (801) 980-2546.

What is Summit Mohs Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Summit Mohs Dermatology PLLC enrolled in Medicare?

Yes. Summit Mohs Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Mohs Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Micrographic Dermatologic Surgery (MDS)) reassigns their Medicare billing to Summit Mohs Dermatology PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Summit Mohs Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D2346389) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Mohs Dermatology PLLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Summit Mohs Dermatology PLLC 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 Summit Mohs Dermatology PLLC was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.