Dermatology and Plastic Surgery Specialists PLLC
NPI 1043096365 · Plastic Surgery Physician · Southlake, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology and Plastic Surgery Specialists PLLC is a Plastic Surgery Physician organization in Southlake, TX (NPI 1043096365).
Provider details
- NPI number
- 1043096365
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Dermatology and Plastic Surgery Specialists PLLC
- Organization subpart
- Yes
- Authorized official
- Jason Potter, Physician(214) 930-6588
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Plastic Surgery Specialists
Registry dates
- Enumerated
- 2023-09-01
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Dermatology and Plastic Surgery Specialists PLLC's NPI number?
- Dermatology and Plastic Surgery Specialists PLLC's National Provider Identifier (NPI) is 1043096365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Plastic Surgery Specialists PLLC?
- Dermatology and Plastic Surgery Specialists PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology and Plastic Surgery Specialists PLLC located?
- Dermatology and Plastic Surgery Specialists PLLC's practice location on file with NPPES is 245 W State Highway 114 Suite 100, Southlake, TX 76092.
- What is Dermatology and Plastic Surgery Specialists PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Plastic Surgery Specialists PLLC is (817) 912-1200.
- Does Dermatology and Plastic Surgery Specialists PLLC accept Medicare?
- Dermatology and Plastic Surgery Specialists PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology and Plastic Surgery Specialists PLLC?
- The authorized official listed on Dermatology and Plastic Surgery Specialists PLLC's NPPES record is Jason Potter, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Plastic Surgery Specialists PLLC's NPI active?
- Yes — Dermatology and Plastic Surgery Specialists PLLC's NPI (1043096365) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.