Laura Archibald, M.D.

Individual provider Active NPI MOHS-Micrographic Surgery Physician · Leominster, MA

NPI 1790348472 · NPPES record last updated Apr 24, 2026

Key facts

NPI
1790348472
Entity type
Individual (NPI type 1)
Primary specialty
MOHS-Micrographic Surgery Physician 207ND0101X
License
1023399 (MA)
Practice address
80 Erdman Way Ste 100
Leominster, MA 01453-1840
Phone
(978) 751-9280
Fax
(978) 627-3923
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Micrographic Dermatologic Surgery (MDS)
Also: Dermatology
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Premier Dermatology PLLC (6 clinicians)
Adult and Pediatric Dermatology PC (38 clinicians)

Practice addresses (Care Compare)

372 Washington St
Wellesley, MA 02481-6202
Phone (781) 205-0770

80 Erdman Way
Leominster, MA 01453-1840
Phone (978) 371-7010

Hospital & facility affiliations

  • Emerson Hospital - Hospital · W Concord, MA · CCN 220084
  • Newton-Wellesley Hospital Hospital · Newton, MA · CCN 220101

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100 (group)
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision63
Removal of skin lesions68
Removal of skin cancer228
Removal or shaving of skin growth1-10
Skin biopsy56

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250709001057 MA Practitioner - Micrographic Dermatologic Surgery (MDS)
Practitioner - Dermatology
9537494679 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1023399MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology, P.C. Dermatology Current
since Aug 25, 2025
Accepting new patients
Premier Dermatology, PLLC Dermatology Current
since Sep 1, 2025
Accepting new patients
Apderm North, PC Dermatology Past Accepting new patients
Apderm Massachusetts PC Dermatology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

54 Baker Avenue Ext
Ste 305
Concord, MA 01742

80 Erdman Way
Ste 100
Leominster, MA 01453
Phone (978) 751-9280

80 Erdman Way
Leominster, MA 01453
Phone (978) 534-0230

372 Washington St
Ste 2
Wellesley, MA 02481
Phone (781) 205-0770

372 Washington St
Wellesley Hls, MA 02481
Phone (781) 235-5200

Interoperability endpoints

  • Direct secure messaging: laura.archilbald@forefrontdermatology.emadirect.md

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 1023399 MA Yes
Dermatology Physician 207N00000X 1023399 MA

Addresses

Primary practice location

80 Erdman Way Ste 100
Leominster, MA 01453-1840

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other names

  • Dr. Laura Joy Kooistra Former name

Other providers in Leominster, MA

All providers in Leominster, MA · MOHS-Micrographic Surgery Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.