Individual provider Active NPI

David A Shearer, MD

  • Dermatology Physician
  • Florence, KY
National Provider Identifier
1659388726
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
16310 Issued in KY
Practice address
10060 Demia Way
The Dermatology Center
Florence, KY 41042
Phone
(859) 525-6770
Fax
(859) 525-7990
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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 16310 KY Primary

Addresses

Primary practice location

10060 Demia Way
The Dermatology Center
Florence, KY 41042

Mailing address

10060 Demia Way
The Dermatology Center
Florence, KY 41042
Phone (859) 525-6770

Other identifiers 1

IdentifierTypeStateIssuer
64163108MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120104000333 KY Practitioner - Dermatology 2860476223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Center PSCGroup PAC ID 8426032889, 4 clinicians

Practice addresses (Care Compare)

10060 Demia Way
Florence, KY 41042-4734
Phone (859) 525-6770

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision238
Removal of skin lesions1777
Removal of nail tissue1-10
Removal or shaving of skin growth137
Skin biopsy257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16310KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Center PSC Dermatology CurrentSince Sep 5, 1996 Accepting new patients
The Dermatology Center,PSC Past Accepting new patients

Locations

10060 Demia Way
Florence, KY 41042
Phone (859) 525-6770

Organizations & group practices 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1659388726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 DEMIA WAY",
            "address_2": "THE DERMATOLOGY CENTER",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-525-6770",
            "fax_number": "859-525-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 DEMIA WAY",
            "address_2": "THE DERMATOLOGY CENTER",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-525-6770",
            "fax_number": "859-525-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "16310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64163108",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.