Trissa McClatchey Connors, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

T6212 Issued in TX

Practice address

4603 FM 1463 Rd Ste 100
Katy, TX 77494-6846

Phone

(281) 612-0050

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Trissa Marie McClatchey Professional name

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

Specialty

Dermatology

Education

Baylor College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Dermatology PLLCGroup PAC ID 1153863337, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Evolve Dermatology PLLC

  • Dermatology Physician
  • Plano, TX
  • NPI 1780441931
  Medicare reassignment Care Compare group NPD
• Elite Dermatology, PLLC

  • Dermatology Physician
  • Katy, TX
  • NPI 1104337526
  Medicare reassignment NPD
• Elite Derm Services, PLLC

  • Dermatopathology (Pathology) Physician
  • Fulshear, TX
  • NPI 1861209298
  NPD
• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1568968634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 FM 1463 RD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946846",
            "telephone_number": "281-612-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "TRISSA",
        "middle_name": "MCCLATCHEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T6212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISSA",
            "last_name": "MCCLATCHEY",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Conkin Kaminski, MD, MBA
• Chatoya Conley
• Brooke Conner
• Kelly B Conner, M.D.
• Connie L Beckham PLLC (The Well Counseling Katy)
• Conquer Holdings, Inc
• Alyssa J Conrad, NUTRITIONIST PN
• Consano Home Care Inc
• Luis Contreras Bernal
• Abel Contreras

• Dermatology Physician in Katy, TX
• Providers in Katy, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.