MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C.
NPI 1548213606
Dermatology in Stoneham, MA
About Mystic Valley Dermatology Associates, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYSTIC VALLEY DERMATOLOGY ASSOCIATES, P.C. (NPI 1548213606) is a healthcare organization registered as a dermatology in Stoneham, Massachusetts and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 25, 2028, maintains 4 additional practice locations, and lists Samuel D Goos, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 4
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)
Mystic Valley Dermatology Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Mystic Valley Dermatology Associates, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 22D1015174
Mystic Valley Dermatology Associates · Stoneham, 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 Mystic Valley Dermatology Associates, P.C.'s NPI number?
The NPI number for Mystic Valley Dermatology Associates, P.C. is 1548213606. It was assigned to this organization in the NPPES registry on May 18, 2006.
Where is Mystic Valley Dermatology Associates, P.C. located?
Mystic Valley Dermatology Associates, P.C. is located at 92 Montvale Ave Ste 3000, Stoneham, MA 02180. The listed phone number is (781) 438-6350.
What is Mystic Valley Dermatology Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mystic Valley Dermatology Associates, P.C. enrolled in Medicare?
Yes. Mystic Valley Dermatology Associates, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mystic Valley Dermatology Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Mystic Valley Dermatology Associates, P.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 (6), Nurse Practitioner (4) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mystic Valley Dermatology Associates, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 22D1015174) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mystic Valley Dermatology Associates, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Mystic Valley Dermatology Associates, P.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 Mystic Valley Dermatology Associates, P.C. 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 16 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.
# Mystic Valley Dermatology Associates, P.c. · NPI 1548213606
Dermatology organization in Stoneham, Massachusetts. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1548213606 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Goos, MANAGING PARTNER
## Practice location
- **Address:** 92 MONTVALE AVE STE 3000, Stoneham, MA 02180-3658
- **Phone:** (781) 438-6350 · **Fax:** (781) 279-0430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Nurse Practitioner (4), Micrographic Dermatologic Surgery (MDS) (1); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548213606) · Data from the CMS NPPES public registry.