DURANGO DERMATOLOGY AND DERMATOLOGIC SURGERY LLC
NPI 1497811160
Dermatology in Durango, CO

Active since December 28, 2006
523 S CAMINO DEL RIO, SUITE B, DURANGO, CO 81303(970) 247-1970(970) 259-1668 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Jan 28, 2026, Aug 22, 2020 (3 updates tracked since 2020).

About Durango Dermatology And Dermatologic Surgery Llc NPPES

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

DURANGO DERMATOLOGY AND DERMATOLOGIC SURGERY LLC (NPI 1497811160) is a healthcare organization registered as a dermatology in Durango, Colorado and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Durango and lists Mark Gaughan, Owner, as its authorized official.

NPPES Registry Identity

NPI1497811160
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDURANGO DERMATOLOGY AND DERMATOLOGIC SURGERY LLC
Location Address523 S CAMINO DEL RIO, SUITE BDurango, CO 81303-6853
Mailing AddressPo Box 2299Durango, CO 81302-2299
Fax(970) 259-1668
Organization SubpartNo
Authorized OfficialMark GaughanOwner · (970) 247-1970
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1497811160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
523 S CAMINO DEL RIO, Durango, CO 81303

Secondary Practice Location 1

Location 172 Suttle St Unit LDurango, CO 81303-6829 · Phone (970) 247-1970 · Fax (970) 259-1668

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)

Durango Dermatology And Dermatologic Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Durango Dermatology And Dermatologic Surgery LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Dermatology
NPI 1053724062
523 S CAMINO DEL RIO STE B
Durango, CO 81303
(970) 247-1970
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1659830842
523 S CAMINO DEL RIO STE B
Durango, CO 81303
(970) 247-1970
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1790792851
523B SOUTH CAMINO DEL RIO
Durango, CO 81303
(970) 247-2970
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1609121722
523 S CAMINO DEL RIO STE B
Durango, CO 81303
(970) 247-1970
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1447249636
523 S CAMINO DEL RIO, STE B
Durango, CO 81303
(970) 247-1970
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1609139138
1521 E TANGERINE RD STE 161
Oro Valley, AZ 85755
(520) 771-0288
✔ PECOS✔ Accepts Medicare375 mi
Dermatology
NPI 1831355700
27 HUGHES RD
Madison, AL 35758
(877) 231-3376
✔ PECOS✔ Accepts Medicare1,195 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 06D0684336

Durango Dermatology & Dermatologic Surgery PLLC · Durango, CO
Expired · Sep 30, 2026
CLIA Number06D0684336
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Mark D. Gaughan
Laboratory Phone(970) 247-1970
Laboratory LocationDurango Dermatology & Dermatologic Surgery PLLC523 S Camino Del Rio Suite B, Durango, CO 81303
CLIA data matches this NPI record on: Address 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 Durango Dermatology And Dermatologic Surgery LLC's NPI number?

The NPI number for Durango Dermatology And Dermatologic Surgery LLC is 1497811160. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Durango Dermatology And Dermatologic Surgery LLC located?

Durango Dermatology And Dermatologic Surgery LLC is located at 523 S Camino Del Rio Suite B, Durango, CO 81303. The listed phone number is (970) 247-1970.

What is Durango Dermatology And Dermatologic Surgery LLC's specialty?

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

Is Durango Dermatology And Dermatologic Surgery LLC enrolled in Medicare?

Yes. Durango Dermatology And Dermatologic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Durango Dermatology And Dermatologic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Durango Dermatology And Dermatologic Surgery LLC. 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 (6) and Pathology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Durango Dermatology And Dermatologic Surgery LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.