WESTGATE DERMATOLOGY AND LASER CENTER, P.A.
NPI 1821240995
Dermatology - Dermatopathology in Winston Salem, NC
About Westgate Dermatology And Laser Center, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTGATE DERMATOLOGY AND LASER CENTER, P.A. (NPI 1821240995) is a healthcare organization registered as a dermatopathology in Winston Salem, North Carolina and active in the NPI registry since October 2008. The organization holds 2 active CLIA laboratory certificates and lists Paul J Kostuchenko, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Westgate Dermatology And Laser Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Westgate Dermatology And Laser Center, P.A., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 2
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 34D1094366
Westgate Dermatology And Laser Center, PA · Winston Salem, NCCertificate of Waiver 34D2176944
Westgate Dermatology And Laser Center, PA · Kernersville, NCFrequently 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 Westgate Dermatology And Laser Center, P.A.'s NPI number?
The NPI number for Westgate Dermatology And Laser Center, P.A. is 1821240995. It was assigned to this organization in the NPPES registry on October 21, 2008.
Where is Westgate Dermatology And Laser Center, P.A. located?
Westgate Dermatology And Laser Center, P.A. is located at 2020 Peace Haven Rd, Winston Salem, NC 27106. The listed phone number is (336) 768-1280.
What is Westgate Dermatology And Laser Center, P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Westgate Dermatology And Laser Center, P.A. enrolled in Medicare?
Yes. Westgate Dermatology And Laser Center, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Westgate Dermatology And Laser Center, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Westgate Dermatology And Laser Center, P.A.. 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 (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Westgate Dermatology And Laser Center, P.A. hold CLIA laboratory certificates?
Yes. 2 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 Westgate Dermatology And Laser Center, P.A. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Westgate Dermatology And Laser Center, P.A. 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 Westgate Dermatology And Laser Center, P.A. was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Westgate Dermatology And Laser Center, P.a. · NPI 1821240995
Dermatopathology organization in Winston Salem, North Carolina. Organization record, active in the CMS NPPES registry since October 21, 2008.
## Identity
- **NPI:** 1821240995 (Entity type: Organization)
- **Enumerated:** October 21, 2008
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Organization subpart:** No
- **Authorized official:** Paul Kostuchenko, PRESIDENT
## Practice location
- **Address:** 2020 PEACE HAVEN RD, Winston Salem, NC 27106-4851
- **Phone:** (336) 768-1280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Micrographic Dermatologic Surgery (MDS) (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2012
- **Other identifiers:** Other QPB766 (NC); Medicaid QPB766 (SC); Medicaid 5950698 (NC); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821240995) · Data from the CMS NPPES public registry.