NPIMap

Dermatology Inc.

A Medicare group practice based in Carmel, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4587604962), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587604962The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
IN
Enrollments
2
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 9 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050504001196 IN Part B Supplier - Clinic/Group Practice 1053421610
O20071228000438 IN Part B Supplier - Independent Clinical Laboratory 1033203815

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
99.15 of 100Reported as group, on the record of 19 clinicians in this group
Promoting interoperability
99
Improvement activities
40

Clinicians 22

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (20).

Sources for this page