Individual provider Active NPI

Kaley Myer, M.D.

  • Dermatology Physician
  • Olympia, WA
National Provider Identifier
1164869459
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
53343 Issued in AZ
Practice address
304 W Bay Dr NW Ste 301
Olympia, WA 98502-4957
Phone
(360) 413-8760
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 53343 AZ Primary

Addresses

Primary practice location

304 W Bay Dr NW Ste 301
Olympia, WA 98502-4957

Mailing address

304 W Bay Dr NW Ste 301
Olympia, WA 98502-4957
Phone (360) 413-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170809002048 AZ Practitioner - Dermatology 6002187069 Reassigns benefits to 1 organization
I20180521002610 WA Practitioner - Dermatology 6002187069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Allergy SpecialistsGroup PAC ID 1254302698, 6 clinicians

Practice addresses (Care Compare)

304 W Bay Dr NW
Suite 301
Olympia, WA 98502-4957
Phone (360) 413-8760

304 W Bay NW
Suite 301
Olympia, WA 98502-4957

Hospital & facility affiliations

  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as individual
Quality
77.86
Improvement activities
40
Cost
81.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision222
Removal of tissue1-10
Removal of skin lesions2065
Removal or shaving of skin growth325
Skin biopsy858

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Allergy Specialists CurrentSince Jul 1, 2018 Accepting new patients
Dyson Dermatology PLLC Dermatology CurrentSince Feb 18, 2024 Accepting new patients
Dyson Dermatology PLLC Dermatology CurrentSince Sep 1, 2017 Accepting new patients

Locations

2222 N Craycroft Rd
Ste 100
Tucson, AZ 85712
Phone (520) 838-0777

304 West Bay Dr NW
Ste 301
Olympia, WA 98502
Phone (360) 413-8421

703 Lilly Rd NE
Ste 103
Olympia, WA 98506
Phone (360) 413-8265

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1164869459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W BAY DR NW STE 301",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024957",
            "telephone_number": "360-413-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W BAY DR NW STE 301",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024957",
            "telephone_number": "360-413-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYER",
        "first_name": "KALEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "53343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.