Individual provider Active NPI

Michael Meyer, M.D.

  • Dermatology Physician
  • Plano, TX
National Provider Identifier
1477964005
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R5778 Issued in TX
Practice address
5060 Tennyson Pkwy Ste 100
Plano, TX 75024-4168
Phone
(972) 505-2551
NPI assigned
May 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X R5778 TX
Dermatology Physician 207N00000X R5778 TX Primary

Addresses

Primary practice location

5060 Tennyson Pkwy Ste 100
Plano, TX 75024-4168

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (214) 987-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180928000899 TX Practitioner - Dermatology 0042514960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians

Practice addresses (Care Compare)

2660 Scripture St
Suite 200
Denton, TX 76201-4342
Phone (940) 312-6767

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as individual
Quality
91.11
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions1171
Skin biopsy983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5778TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PDP of Texas, PLLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Sep 4, 2018 Accepting new patients
Dermatology Consultants of Frisco, P.a. Dermatology PastSince Apr 1, 2008 Accepting new patients
Dermatology Associates Dermatology Past Accepting new patients
Pediatric Dermatology of No. TX Past Accepting new patients

Locations

1601 W Hebron Pkwy
Ste 220
Carrollton, TX 75010
Phone (469) 208-7181

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

10703 Preston Rd
Dallas, TX 75230

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

411 N Washington Ave
Ste 4000
Dallas, TX 75246
Phone (214) 820-2521

12222 Coit Rd
Ste 102
Dallas, TX 75251
Phone (469) 899-6723

10711 Preston Rd
Ste 100
Dallas, TX 75230

2660 Scripture St
Ste 200
Denton, TX 76201
Phone (940) 312-6767

4685 Eldorado Pkwy
Ste 100
Frisco, TX 75033
Phone (972) 335-2727

1042 Texan Trl
Ste 200
Grapevine, TX 76051
Phone (817) 722-6156

6750 N MacArthur Blvd
Ste 260
Irving, TX 75039
Phone (214) 692-6566

7445 Las Colinas Blvd
Irving, TX 75063
Phone (877) 504-9759

21800 Katy Fwy
Ste 200
Katy, TX 77449
Phone (713) 771-1100

7300 Eldorado Pkwy
Ste 100
McKinney, TX 75070

5030 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 945-3854

7000 Preston Rd
Ste 500
Plano, TX 75024

5060 Tennyson Pkwy
Ste 200
Plano, TX 75024
Phone (214) 556-5695

5044 Tennyson Pkwy
Ste B
Plano, TX 75024
Phone (972) 378-4104

5072 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (972) 362-9567

5060 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 505-2551

1940 John King Blvd
Rockwall, TX 75032
Phone (972) 505-2551

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1477964005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TENNYSON PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244168",
            "telephone_number": "972-505-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "R5778",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.