CHARLESTON DERMATOLOGY PLLC
NPI 1619623972
Dermatology in Charleston, WV
About Charleston Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLESTON DERMATOLOGY PLLC (NPI 1619623972) is a healthcare organization registered as a dermatology in Charleston, West Virginia and active in the NPI registry since February 2022. The organization holds a CLIA Microscopy certificate valid through August 13, 2027 and lists Kimberly L Skaff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Charleston Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Charleston Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Charleston, WV 25304
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 for Provider-Performed Microscopy Procedures (PPMP) 51D0687379
Charleston Dermatology, PLLC · Charleston, WVFrequently 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 Charleston Dermatology PLLC's NPI number?
The NPI number for Charleston Dermatology PLLC is 1619623972. It was assigned to this organization in the NPPES registry on February 25, 2022.
Where is Charleston Dermatology PLLC located?
Charleston Dermatology PLLC is located at 4502 Maccorkle Ave SE Ste A, Charleston, WV 25304. The listed phone number is (304) 925-5500.
What is Charleston Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Charleston Dermatology PLLC enrolled in Medicare?
Yes. Charleston Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charleston Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Charleston Dermatology PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Charleston Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D0687379) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Charleston Dermatology PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Charleston 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 Charleston Dermatology PLLC was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Charleston Dermatology Pllc · NPI 1619623972
Dermatology organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since February 25, 2022.
## Identity
- **NPI:** 1619623972 (Entity type: Organization)
- **Enumerated:** February 25, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Skaff, OWNER
## Practice location
- **Address:** 4502 MACCORKLE AVE SE STE A, Charleston, WV 25304-1835
- **Phone:** (304) 925-5500 · **Fax:** (304) 925-6780
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619623972) · Data from the CMS NPPES public registry.