COMMONWEALTH DERMATOLOGY, P.C.
NPI 1609239847
Dermatology in Mc Murray, PA
About Commonwealth Dermatology, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMONWEALTH DERMATOLOGY, P.C. (NPI 1609239847) is a healthcare organization registered as a dermatology in Mc Murray, Pennsylvania and active in the NPI registry since April 2016. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2026 and lists Matthew Shane Petrie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Commonwealth Dermatology, P.c. 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 Commonwealth Dermatology, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 39D2116761
Commonwealth Dermatology · Mcmurray, PAFrequently 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 Commonwealth Dermatology, P.C.'s NPI number?
The NPI number for Commonwealth Dermatology, P.C. is 1609239847. It was assigned to this organization in the NPPES registry on April 4, 2016.
Where is Commonwealth Dermatology, P.C. located?
Commonwealth Dermatology, P.C. is located at 3055 Washington Rd Suite 203, Mc Murray, PA 15317. The listed phone number is (724) 260-5424.
What is Commonwealth Dermatology, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Commonwealth Dermatology, P.C. enrolled in Medicare?
Yes. Commonwealth Dermatology, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Commonwealth Dermatology, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Commonwealth Dermatology, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Commonwealth Dermatology, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 39D2116761) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Commonwealth Dermatology, P.C. was last updated on June 6, 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.