NPIMap

Individual provider Active NPI

Kaitlin Peters, M.D.

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1750624839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD460890 Issued in PA
Practice address
107 Gamma Dr Ste 120
Pittsburgh, PA 15238-2917
Phone
(412) 782-2302
NPI assigned
Mar 27, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MD460890 PA Primary

Addresses

Primary practice location

107 Gamma Dr Ste 120
Pittsburgh, PA 15238-2917

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Other names 1

  • Kaitlin Vaughan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824003571 PA Practitioner - Dermatology 1557633583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

4490 Mount Royal Blvd
Suite 3100
Allison Park, PA 15101-2685
Phone (412) 219-1173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
83.84
Promoting interoperability
85
Improvement activities
40
Cost
59.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions306
Removal or shaving of skin growth49
Skin biopsy157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD460890PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince May 1, 2024 Accepting new patients
Upmc Community Medicine, Inc CurrentSince May 1, 2024 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Advanced Dermatology of Pennsylvania, PC Dermatology CurrentSince Aug 21, 2017 Accepting new patients
Upmc Community Medicine Inc Dermatology Past Accepting new patients
Milstein Dermatology LLC Dermatology PastSince Oct 19, 2013 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

4490 Mount Royal Blvd
Ste 3100
Allison Park, PA 15101
Phone (412) 219-0386

631 Airport Rd
Ste 100
Hazle Township, PA 18202
Phone (570) 454-7546

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

525 Jamestown St
Ste 206
Philadelphia, PA 19128
Phone (215) 482-7546

107 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 782-2302

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750624839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR STE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-782-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KAITLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD460890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "VAUGHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.