COLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
NPI 1801901517
Dermatology - MOHS-Micrographic Surgery in Colorado Springs, CO

Active since August 20, 2006CLIA 06D0931182 · Certificate of Compliance
170 PARKSIDE DR, COLORADO SPRINGS, CO 80910(719) 471-1763(719) 471-2498 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2024, May 3, 2023 (2 updates tracked since 2023).

About Colorado Springs Dermatology Clinic, P.c. NPPES

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

COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. (NPI 1801901517) is a healthcare organization registered as a mohs-micrographic surgery in Colorado Springs, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 6, 2028 and lists Michael B Turner, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1801901517
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCOLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
Location Address170 PARKSIDE DRColorado Springs, CO 80910-3129
Mailing Address170 Parkside DrColorado Springs, CO 80910-3129 · (719) 471-1763 · Fax (719) 471-2498
Fax(719) 471-2498
Organization SubpartNo
Authorized OfficialMichael B TurnerTreasurer · (719) 471-1763
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1801901517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatologyTaxonomy 207N00000X
170 PARKSIDE DR, Colorado Springs, CO 80910

Other Identifiers 1

Medicaid4020582CO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colorado Springs Dermatology Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Colorado Springs Dermatology Clinic, P.C., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology9
Micrographic Dermatologic Surgery (MDS)1
Pathology1

Clinicians, nearest first (11)

Dermatology
NPI 1508046491
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1801259023
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1740376649
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1558378968
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1306018213
170 S PARKSIDE DR COLORADO SPRINGS DERMATOLOGY CLINIC, PC
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1902914658
170 PARKSIDE DRIVE
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1356437271
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1598851404
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1952981383
170 S PARKSIDE DR
Colorado Springs, CO 80910
(719) 471-1763
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1356979181
2060 BRIARGATE PKWY STE 150
Colorado Springs, CO 80920
(719) 471-1763
✔ PECOS✔ Accepts Medicare9.4 mi
Dermatology
NPI 1780241679
2060 BRIARGATE PKWY STE 150
Colorado Springs, CO 80920
(719) 471-1763
✔ PECOS✔ Accepts Medicare9.4 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

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 06D0931182

Colorado Springs Dermatology Clinic, PC · Colorado Springs, CO
Active · expires Jan 6, 2028
CLIA Number06D0931182
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorDr. Patrick J. Sniezek
Laboratory Phone(719) 471-1763
Laboratory LocationColorado Springs Dermatology Clinic, PC170 Parkside Dr, Colorado Springs, CO 80910
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.

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 Colorado Springs Dermatology Clinic, P.C.'s NPI number?

The NPI number for Colorado Springs Dermatology Clinic, P.C. is 1801901517. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Colorado Springs Dermatology Clinic, P.C. located?

Colorado Springs Dermatology Clinic, P.C. is located at 170 Parkside Dr, Colorado Springs, CO 80910. The listed phone number is (719) 471-1763.

What is Colorado Springs Dermatology Clinic, P.C.'s specialty?

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

Is Colorado Springs Dermatology Clinic, P.C. enrolled in Medicare?

Yes. Colorado Springs Dermatology Clinic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Springs Dermatology Clinic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Colorado Springs Dermatology Clinic, 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 (9), Micrographic Dermatologic Surgery (MDS) (1) and Pathology (1). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Colorado Springs Dermatology Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D0931182) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colorado Springs Dermatology Clinic, P.C. was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.