Tri-City Dermatology PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

TRI-CITY DERMATOLOGY PLLC

Practice address

112 Columbia Point Dr Ste 105
Richland, WA 99352-4390

Phone

(509) 873-7140

Fax

(509) 818-1303

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy W Peck, MDNPI 1457514689

Title

Owner/MD

Phone

(509) 873-7140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Walter Peck, M.D., PH.D.

  • MOHS-Micrographic Surgery Physician
  • Richland, WA
  • NPI 1457514689
  Medicare reassignment Care Compare group NPD Authorized official
• Kellie Leeclaire Duarte, M.ED, PA-C

  • Physician Assistant
  • Kennewick, WA
  • NPI 1306034277
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1669070918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR STE 105",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "484-919-2125",
            "fax_number": "509-818-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR STE 105",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-873-7140",
            "fax_number": "509-818-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "509-873-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Nephrology, LLC
• Tri-Cities Physical Med & Rehab
• Tri-Cities Sexual Health PLLC
• Tri-Cities Sexual Health PLLC
• Tri-City Anesthesia and Pain Management, PLLC
• Tri-City Eyes
• Tri-City Heart Centre, Inc
• Tri-City Orthodontics
• Tri-City Orthodontics, LLC
• Tri-City Regional Surgery Center LLC

• MOHS-Micrographic Surgery Physician in Richland, WA
• Providers in Richland, WA by specialty
• MOHS-Micrographic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.