Individual provider Active NPI

Eric Stephen Hollabaugh, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1497749824
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
H6293 Issued in TX
Practice address
5805 Coit Rd Ste 203
Plano, TX 75093-6990
Phone
(469) 769-3376
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X H6293 TX Primary

Addresses

Primary practice location

5805 Coit Rd Ste 203
Plano, TX 75093-6990

Mailing address

1030 S Coit Rd
Prosper, TX 75078-2950
Phone (469) 769-3376

Other practice location 1

1030 S Coit Rd
Prosper, TX 75078-2950
Phone (469) 769-3376

Other practice location 2

5805 Coit Rd Ste 202
Plano, TX 75093-6990
Phone (469) 769-3376

Other identifiers 3

IdentifierTypeStateIssuer
2E7355OtherTXPTAN
0700006740OtherTXRAILROAD MEDICARE
131932907MedicaidTX

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
I20110324000143 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 4587699079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5805 Coit Rd
Suite 202
Plano, TX 75093-6990
Phone (469) 769-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of skin lesions19
Removal of skin cancer186
Removal of nail tissue1-10
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6293TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lockhart Matter Mohs & Surgery Center Mohs-Micrographic Surgery CurrentSince Dec 4, 2024 Accepting new patients
Eric Stephen Hollabaugh, M.D., PA Mohs-Micrographic Surgery CurrentSince Sep 1, 1995 Accepting new patients
Lockhart Matter Dermatology PLLC Mohs-Micrographic Surgery CurrentSince Nov 4, 2024 Accepting new patients

Locations

5805 Coit Rd
Ste 202
Plano, TX 75093
Phone (469) 769-3376

6100 Windhaven Pkwy
Plano, TX 75093
Phone (214) 615-1735

6100 Windhaven Pkwy
Ste 208
Plano, TX 75093
Phone (972) 378-0620

5805 Coit Rd
Plano, TX 75093
Phone (972) 754-8205

5805 Coit Rd
Ste 203
Plano, TX 75093
Phone (469) 769-3376

1030 S Coit Rd
Prosper, TX 75078
Phone (469) 769-3376

1030 S Coit Rd
Ste 202
Prosper, TX 75078

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1497749824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782950",
            "telephone_number": "469-769-3376",
            "fax_number": "972-378-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 COIT RD STE 203",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936990",
            "telephone_number": "469-769-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 S Coit Rd",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782950",
            "country_code": "US",
            "telephone_number": "469-769-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5805 Coit Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750936990",
            "country_code": "US",
            "telephone_number": "469-769-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLABAUGH",
        "first_name": "ERIC",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "H6293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2E7355",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0700006740",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131932907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.