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MAGNOLIA DERMATOLOGY OF FRISCO PLLC
NPI 1821746660
Dermatology in Frisco, TX

Active since March 11, 2022
13192 DALLAS PKWY STE 620, FRISCO, TX 75033(972) 668-3376(972) 668-7546 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Magnolia Dermatology Of Frisco Pllc NPPES

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

MAGNOLIA DERMATOLOGY OF FRISCO PLLC (NPI 1821746660) is a healthcare organization registered as a dermatology in Frisco, Texas and active in the NPI registry since March 2022. The organization lists Carla A. Gustovich, President, as its authorized official.

NPPES Registry Identity

NPI1821746660
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMAGNOLIA DERMATOLOGY OF FRISCO PLLC
Location Address13192 DALLAS PKWY STE 620Frisco, TX 75033-4248
Mailing Address13192 Dallas Pkwy Ste 620Frisco, TX 75033-4248 · (972) 668-3376 · Fax (972) 668-7546
Phone(972) 668-3376
Fax(972) 668-7546
Organization SubpartNo
Authorized OfficialCarla A. GustovichPresident · (972) 668-3376
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1821746660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
13192 DALLAS PKWY STE 620, Frisco, TX 75033
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.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)

Magnolia Dermatology Of Frisco Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Magnolia Dermatology Of Frisco PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Carla Gustovich, MD
Dermatology
NPI 1003981044
13192 DALLAS PKWY STE 620
Frisco, TX 75033
(972) 668-3376
✔ PECOS✔ Accepts MedicareSame address
Rachel Quinby-Graves, M.D.
Dermatology
NPI 1053337873
5805 COIT RD STE 203
Plano, TX 75093
(469) 769-3376
✔ PECOS10 mi

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 Magnolia Dermatology Of Frisco PLLC's NPI number?

The NPI number for Magnolia Dermatology Of Frisco PLLC is 1821746660. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Magnolia Dermatology Of Frisco PLLC located?

Magnolia Dermatology Of Frisco PLLC is located at 13192 Dallas Pkwy Ste 620, Frisco, TX 75033. The listed phone number is (972) 668-3376.

What is Magnolia Dermatology Of Frisco PLLC's specialty?

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

Is Magnolia Dermatology Of Frisco PLLC enrolled in Medicare?

Yes. Magnolia Dermatology Of Frisco PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Dermatology Of Frisco PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Magnolia Dermatology Of Frisco PLLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Magnolia Dermatology Of Frisco PLLC accept?

Health plans from WellPoint list Magnolia Dermatology Of Frisco 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 Magnolia Dermatology Of Frisco PLLC was last updated on March 11, 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.