Individual provider Active NPI

Lynn Ann Colaiacovo, M.D.

  • Dermatology Physician
  • Hermitage, PA
National Provider Identifier
1013911528
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD057934L Issued in PA
Practice address
2501 Shenango Valley Fwy
Ste 1
Hermitage, PA 16148-2536
Phone
(724) 983-1820
Fax
(724) 983-1822
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD057934L PA Primary

Addresses

Primary practice location

2501 Shenango Valley Fwy
Ste 1
Hermitage, PA 16148-2536

Mailing address

2501 Shenango Valley Fwy
Ste 1
Hermitage, PA 16148-2536
Phone (724) 983-1820

Other identifiers 8

IdentifierTypeStateIssuer
101761OtherPAUPMC
000000352669OtherOHANTHEM
P00204247OtherGARAILROAD MEDICARE
1500331OtherPAGATEWAY
201894518OtherPATRICARE
000662020OtherPAHIGHMARK
0016268820006MedicaidPA
000000160272OtherPAMEDPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000838 PA Practitioner - Dermatology 2668431529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pittsburgh School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynn a. Colaiacovo, M.D., P.C.Group PAC ID 7416906888, 3 clinicians

Practice addresses (Care Compare)

2501 Shenango Valley Fwy
Suite 1
Hermitage, PA 16148-2536
Phone 72498318206

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
82.74
Promoting interoperability
51
Improvement activities
40
Cost
84.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions514
Removal or shaving of skin growth1-10
Skin biopsy48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn a. Colaiacovo, M.D., P.C. Dermatology CurrentSince Jan 1, 2005 Accepting new patients

Locations

2501 Shenango Valley Fwy
Hermitage, PA 16148
Phone (724) 983-0223

2501 Shenango Valley Fwy
Ste 1
Hermitage, PA 16148
Phone (724) 983-1820

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013911528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SHENANGO VALLEY FWY",
            "address_2": "STE 1",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482536",
            "telephone_number": "724-983-1820",
            "fax_number": "724-983-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SHENANGO VALLEY FWY",
            "address_2": "STE 1",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482536",
            "telephone_number": "724-983-1820",
            "fax_number": "724-983-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAIACOVO",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD057934L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "101761",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000352669",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00204247",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1500331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "201894518",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000662020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016268820006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "000000160272",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.