1. Home
  2. Directory
  3. Washington
  4. Richland
  5. Dermatology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRI-CITY DERMATOLOGY PLLC
NPI 1669070918
Dermatology - MOHS-Micrographic Surgery in Richland, WA

Active since October 09, 2020CLIA 50D2198046 · Certificate of Compliance
112 COLUMBIA POINT DR STE 105, RICHLAND, WA 99352(509) 873-7140(509) 818-1303 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Oct 29, 2020, Oct 9, 2020 (3 updates tracked since 2020).

About Tri-city Dermatology Pllc NPPES

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

TRI-CITY DERMATOLOGY PLLC (NPI 1669070918) is a healthcare organization registered as a mohs-micrographic surgery in Richland, Washington and active in the NPI registry since October 2020. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Jeremy W Peck, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1669070918
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameTRI-CITY DERMATOLOGY PLLC
Location Address112 COLUMBIA POINT DR STE 105Richland, WA 99352-4390
Mailing Address112 Columbia Point Dr Ste 105Richland, WA 99352-4390 · (484) 919-2125 · Fax (509) 818-1303
Phone(509) 873-7140
Fax(509) 818-1303
Organization SubpartNo
Authorized OfficialJeremy W PeckOwner/md · (509) 873-7140
Enumeration DateOctober 9, 2020
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1669070918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
112 COLUMBIA POINT DR STE 105, Richland, WA 99352
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 50D2198046

Tri-City Dermatology PLLC · Richland, WA
Active · expires Apr 4, 2028
CLIA Number50D2198046
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJeremy W. Peck
Laboratory Phone(484) 919-2125
Laboratory LocationTri-City Dermatology PLLC112 Columbia, Richland, WA 99352
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY WALTER PECK M.D., PH.D.
Dermatology (MOHS-Micrographic Surgery)
112 COLUMBIA POINT DR STE 105
RICHLAND, WA 99352
Benton County (509) 873-7140
PARKINSON - BUTLER ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
112 COLUMBIA POINT DR STE 105
RICHLAND, WA 99352
Benton County (509) 946-7689

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 Tri-City Dermatology PLLC's NPI number?

The NPI number for Tri-City Dermatology PLLC is 1669070918. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Tri-City Dermatology PLLC located?

Tri-City Dermatology PLLC is located at 112 Columbia Point Dr Ste 105, Richland, WA 99352. The listed phone number is (509) 873-7140.

What is Tri-City Dermatology PLLC's specialty?

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

Does Tri-City Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D2198046) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-City Dermatology PLLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Tri-City 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 Tri-City Dermatology PLLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.