DERMATOLOGY ASSOC OF ERIE
NPI 1821099623
Dermatology in Erie, PA
About Dermatology Assoc Of Erie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ASSOC OF ERIE (NPI 1821099623) is a healthcare organization registered as a dermatology in Erie, Pennsylvania and active in the NPI registry since August 2005. The organization lists Donald L Baxter, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Assoc Of Erie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology Assoc Of Erie, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dermatology Assoc Of Erie's NPI number?
The NPI number for Dermatology Assoc Of Erie is 1821099623. It was assigned to this organization in the NPPES registry on August 3, 2005.
Where is Dermatology Assoc Of Erie located?
Dermatology Assoc Of Erie is located at 3416 State St, Erie, PA 16508. The listed phone number is (814) 456-7548.
What is Dermatology Assoc Of Erie's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Assoc Of Erie enrolled in Medicare?
Yes. Dermatology Assoc Of Erie is registered in the Medicare PECOS enrollment system.
When is Dermatology Assoc Of Erie's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology Assoc Of Erie?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology Assoc Of Erie, 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.
When was this NPI record last updated?
The NPPES record for Dermatology Assoc Of Erie was last updated on July 21, 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.
# Dermatology Assoc Of Erie · NPI 1821099623
Dermatology organization in Erie, Pennsylvania. Organization record, active in the CMS NPPES registry since August 3, 2005.
## Identity
- **NPI:** 1821099623 (Entity type: Organization)
- **Enumerated:** August 3, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Donald Baxter, VICE PRESIDENT
## Practice location
- **Address:** 3416 STATE ST, Erie, PA 16508-2832
- **Phone:** (814) 456-7548 · **Fax:** (814) 456-5037
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821099623) · Data from the CMS NPPES public registry.