Individual provider Active NPI

Erin Ducharme, MD

  • Dermatology Physician
  • Clive, IA
National Provider Identifier
1891961900
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD-40967 Issued in IA
Practice address
16349 Sheridan Drive
Suite 101
Clive, IA 50325
Phone
(515) 987-0333
Fax
(833) 288-7944
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD-40967 IA
Dermatopathology Physician 207ND0900X MD-40967 IA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MD-40967 IA
Pediatric Dermatology Physician 207NP0225X MD-40967 IA
Procedural Dermatology Physician 207NS0135X MD-40967 IA
Dermatology Physician 207N00000X MD-40967 IA Primary

Addresses

Primary practice location

16349 Sheridan Drive
Suite 101
Clive, IA 50325

Mailing address

16349 Sheridan Ave Ste 101
Clive, IA 50325-4675
Phone (515) 987-0333

Other names 1

  • Erin McKinley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20130919000569 IA Practitioner - Dermatology 4880838598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ducharme Dermatology PCGroup PAC ID 1254689268, 4 clinicians

Practice addresses (Care Compare)

16349 Sheridan Ave
Suite 101
Clive, IA 50325-4675
Phone (515) 650-2914

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as group
Quality
86.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions1220
Removal of skin cancer179
Removal or shaving of skin growth33
Skin biopsy235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-40967IAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ducharme Dermatology, P.C. Dermatology CurrentSince Sep 1, 2018 Accepting new patients
Optimize Medical Group Past Accepting new patients

Locations

16349 Sheridan Ave
Ste 101
Clive, IA 50325
Phone (515) 650-2914

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1891961900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16349 SHERIDAN AVE STE 101",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254675",
            "telephone_number": "515-987-0333",
            "fax_number": "833-288-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16349 SHERIDAN DRIVE",
            "address_2": "SUITE 101",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-987-0333",
            "fax_number": "833-288-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IA",
            "license": "MD-40967",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IA",
            "license": "MD-40967",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IA",
            "license": "MD-40967",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "IA",
            "license": "MD-40967",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IA",
            "license": "MD-40967",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "MD-40967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MCKINLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.