DR. ERIN DUCHARME MD
NPI 1891961900
Dermatology in Clive, IA
About Dr. Erin Ducharme Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERIN DUCHARME MD (NPI 1891961900) is an individual dermatology provider in Clive, Iowa, licensed in Iowa (MD-40967) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2007).
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Erin Ducharme Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Erin Ducharme reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clive, IA 50325
- Reassigned Medicare billing, Iowa enrollment
- Medicare enrollment name: Ducharme Dermatology PC
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 31
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Erin Ducharme's NPI number?
The NPI number for Erin Ducharme is 1891961900. It was assigned to this individual provider in the NPPES registry on May 8, 2008. The provider is also known as Erin Mckinley.
Where is Erin Ducharme located?
Erin Ducharme practices at 16349 Sheridan Drive Suite 101, Clive, IA 50325. The listed phone number is (515) 987-0333.
What is Erin Ducharme's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Erin Ducharme enrolled in Medicare?
Yes. Erin Ducharme is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Erin Ducharme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erin Ducharme reassigns Medicare benefits to Ducharme Dermatology, P.C. (Clive, IA). The 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 Erin Ducharme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erin Ducharme accept?
Health plans from Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Erin Ducharme 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 Erin Ducharme was last updated on August 7, 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.