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MODERN DERMATOLOGY OF KENTUCKY LLC
NPI 1699382507
Dermatology in Lexington, KY

Active since September 24, 2020CLIA Certified · 4 labs
161 LEXINGTON GREEN CIR STE 100, LEXINGTON, KY 40503(859) 276-1511(859) 277-2556 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, Jul 19, 2024, Jun 28, 2024 and 6 more (9 updates tracked since 2020).

About Modern Dermatology Of Kentucky Llc NPPES

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

MODERN DERMATOLOGY OF KENTUCKY LLC (NPI 1699382507) is a healthcare organization registered as a dermatology in Lexington, Kentucky and active in the NPI registry since September 2020. The organization holds 4 active CLIA laboratory certificates and lists Frank Combs, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1699382507
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMODERN DERMATOLOGY OF KENTUCKY LLC
Location Address161 LEXINGTON GREEN CIR STE 100Lexington, KY 40503-3801
Mailing Address169 Burt RdLexington, KY 40503-2455 · (859) 278-9242
Phone(859) 276-1511
Fax(859) 277-2556
Organization SubpartNo
Authorized OfficialFrank CombsManaging Partner · (859) 276-1511
Enumeration DateSeptember 24, 2020
Last NPPES UpdateMay 21, 20269 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1699382507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
161 LEXINGTON GREEN CIR STE 100, Lexington, KY 40503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Modern Dermatology Of Kentucky Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Modern Dermatology Of Kentucky LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology6
Nurse Practitioner5
Pathology1
Urology1

Clinicians, nearest first (13)

Angela Ballard, APRN
Nurse Practitioner
NPI 1154673986
177 BURT RD
Lexington, KY 40503
(859) 276-1511
✔ PECOS✔ Accepts Medicare1.0 mi
Rebecca Davies, APRN
Nurse Practitioner
NPI 1548347198
177 BURT RD
Lexington, KY 40503
(859) 276-1511
✔ PECOS✔ Accepts Medicare1.0 mi
John Roth, MD
Dermatology
NPI 1134193212
177 BURT RD
Lexington, KY 40503
(859) 276-1511
✔ PECOS✔ Accepts Medicare1.0 mi
Cameron Schaeffer, MD
Urology
NPI 1386622363
1760 NICHOLASVILLE RD STE 601
Lexington, KY 40503
(859) 275-5437
✔ PECOS✔ Accepts Medicare1.8 mi
James Wharton, MD
Dermatology
NPI 1386619203
2195 HARRODSBURG RD STE 2
Lexington, KY 40504
(859) 323-3376
✔ PECOS✔ Accepts Medicare2.3 mi
James Bowlds, APRN
Nurse Practitioner
NPI 1760074041
2195 HARRODSBURG RD STE 125
Lexington, KY 40504
(859) 323-6371
✔ PECOS✔ Accepts Medicare2.3 mi
Steven Eilers, M.D.
Dermatology
NPI 1306250790
2195 HARRODSBURG RD FL 2
Lexington, KY 40504
(859) 323-8082
✔ PECOS✔ Accepts Medicare2.3 mi
Amanda Johns, DO
Dermatology
NPI 1679035091
2424 SIR BARTON WAY STE 125
Lexington, KY 40509
(859) 203-6990
✔ PECOS✔ Accepts Medicare6.3 mi
Timothy Smallwood, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1437745163
505 SHOPPERS DR STE 1
Winchester, KY 40391
(859) 740-3376
✔ PECOS✔ Accepts Medicare17 mi
Harty Ashby, D.O.
Pathology
NPI 1083736557
911 BYPASS RD
Pikeville, KY 41501
(606) 218-3500
✔ PECOS115 mi
Ronald Hall, M.D.
Dermatology
NPI 1902857980
1098 S MAYO TRL SUITE 211
Pikeville, KY 41501
(606) 432-5532
✔ PECOS✔ Accepts Medicare116 mi
Ashley Charles, APRN
Nurse Practitioner
NPI 1043848468
7617 UPPER JOHNS CREEK RD
Phelps, KY 41553
(606) 835-9333
✔ PECOS✔ Accepts Medicare128 mi
James Allred, MD
Dermatology
NPI 1780946160
1030 BROOKHAVEN RD
Franklin, KY 42134
(270) 715-2165
✔ PECOS✔ Accepts Medicare144 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 4

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 18D2200629

Modern Dermatology Of Kentucky LLC · Lexington, KY
Active · expires Jul 30, 2027
CLIA Number18D2200629
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Steven E. Eilers
Laboratory Phone(859) 276-1511
Laboratory LocationModern Dermatology Of Kentucky LLC161 Lexington Green Circle Ste 100, Lexington, KY 40503
CLIA data matches this NPI record on: 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.

Certificate of Waiver 18D2267159

Modern Dermatology Of Kentucky, LLC · Pikeville, KY
Active · expires Dec 31, 2026
CLIA Number18D2267159
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. Ronald D. Hall
Laboratory Phone(859) 276-1511
Laboratory LocationModern Dermatology Of Kentucky, LLC1098 S Mayo Trail, Suite 211, Pikeville, KY 41501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2200624

Modern Dermatology Of Kentucky LLC · London, KY
Active · expires Nov 16, 2026
CLIA Number18D2200624
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. John Roth
Laboratory Phone(859) 276-1511
Laboratory LocationModern Dermatology Of Kentucky LLC1750 Hwy 192 West - Ste 8, London, KY 40744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2200636

Modern Dermatology Of Kentucky LLC · Richmond, KY
Active · expires Nov 16, 2026
CLIA Number18D2200636
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. John Roth
Laboratory Phone(859) 276-1511
Laboratory LocationModern Dermatology Of Kentucky LLC120 Meridian Way, Richmond, KY 40475
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Modern Dermatology Of Kentucky LLC's NPI number?

The NPI number for Modern Dermatology Of Kentucky LLC is 1699382507. It was assigned to this organization in the NPPES registry on September 24, 2020.

Where is Modern Dermatology Of Kentucky LLC located?

Modern Dermatology Of Kentucky LLC is located at 161 Lexington Green Cir Ste 100, Lexington, KY 40503. The listed phone number is (859) 276-1511.

What is Modern Dermatology Of Kentucky LLC's specialty?

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

Is Modern Dermatology Of Kentucky LLC enrolled in Medicare?

Yes. Modern Dermatology Of Kentucky LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Dermatology Of Kentucky LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Modern Dermatology Of Kentucky 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), Nurse Practitioner (5) and Pathology (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Modern Dermatology Of Kentucky LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Modern Dermatology Of Kentucky LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Modern Dermatology Of Kentucky LLC 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 Modern Dermatology Of Kentucky LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.