Individual provider Active NPI

Casey Marie Chern, MD

  • Dermatology Physician
  • Charleston, SC
National Provider Identifier
1194163063
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD85178 Issued in SC
Practice address
776 Daniel Ellis Dr Ste 1a
Charleston, SC 29412-3095
Phone
(843) 723-6529
Fax
(843) 723-0424
NPI assigned
Jun 12, 2013
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D83443 MD
Student in an Organized Health Care Education/Training Program 390200000X TYPE 1 NPI NUMBER
Dermatology Physician 207N00000X MD85178 SC Primary

Addresses

Primary practice location

776 Daniel Ellis Dr Ste 1a
Charleston, SC 29412-3095

Mailing address

776 Daniel Ellis Dr
Ste 1a
Charleston, SC 29412-3095
Phone (843) 723-6529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210423000075 SC Practitioner - Dermatology 6204107824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana Medical College, School of Medicine of Purdue University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearline Dermatology LLCGroup PAC ID 9335559939, 6 clinicians

Practice addresses (Care Compare)

776 Daniel Ellis Dr
Suite 1a
Charleston, SC 29412-3095
Phone (843) 723-6529

Merit-based Incentive Payment System (MIPS)

Final score
96.11 of 100Reported as individual
Quality
92.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions1366
Removal of nail tissue1-10
Skin biopsy319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clearline Dermatology, LLC Dermatology CurrentSince Mar 10, 2021 Accepting new patients

Locations

776 Daniel Ellis Dr
Ste 1A
Charleston, SC 29412
Phone (843) 723-6529

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1194163063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR",
            "address_2": "STE 1A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123095",
            "telephone_number": "843-723-6529",
            "fax_number": "843-723-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR STE 1A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123095",
            "telephone_number": "843-723-6529",
            "fax_number": "843-723-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERN",
        "first_name": "CASEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D83443",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "TYPE 1 NPI NUMBER",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "MD85178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.