Susan Teri McGillis, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD430176 Issued in PA

Practice address

230 Harrisburg Ave
Ste 4
Lancaster, PA 17603-2959

Phone

(717) 399-9800

Fax

(717) 399-7613

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

University of California, Davis School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Physicians IncGroup PAC ID 4082651765, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smcgillis@directaddress.net
• Direct secure messaging: teri@dermasurgery.emadirect.md

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.

• Dermatology Physicians Inc.

  • Dermatology Physician
  • Lancaster, PA
  • NPI 1891766424
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1750345278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HARRISBURG AVE",
            "address_2": "STE 4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032959",
            "telephone_number": "717-399-9800",
            "fax_number": "717-399-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HARRISBURG AVE",
            "address_2": "STE 4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032959",
            "telephone_number": "717-399-9800",
            "fax_number": "717-399-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIS",
        "first_name": "SUSAN",
        "middle_name": "TERI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35058536M",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD430176",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD430176",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD430176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0761046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn McGarvey, LPN
• Michael Scott McGee, MD
• Jodi McGeeney, BSN RN
• Cheryl Katherine McGeever
• Krislyn Rousseau McGettigan, EDS
• Scott McGillivray, D.C.
• Jessica McGinnis, RN FNP
• Louise Burke McGinty, RN
• Silvia L McGlinchey, MS
• Beth A McGlynn, OT

• Procedural Dermatology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Procedural Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.