Teton Dermatology LLC
NPI 1194044750 · Dermatology Physician · Jackson, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teton Dermatology LLC is a Dermatology Physician organization in Jackson, WY (NPI 1194044750).
Provider details
- NPI number
- 1194044750
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Executive Director(512) 628-0465
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
16 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
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Teton Dermatology LLC's NPI number?
- Teton Dermatology LLC's National Provider Identifier (NPI) is 1194044750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Dermatology LLC?
- Teton Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Teton Dermatology LLC located?
- Teton Dermatology LLC's practice location on file with NPPES is 984 West Broadway, Jackson, WY 83001-0000.
- What is Teton Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Teton Dermatology LLC is (307) 734-1800.
- Does Teton Dermatology LLC accept Medicare?
- Teton Dermatology LLC 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 Teton Dermatology LLC?
- The authorized official listed on Teton Dermatology LLC's NPPES record is Gheorghe Pusta, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Dermatology LLC's NPI active?
- Yes — Teton Dermatology LLC's NPI (1194044750) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.