Aesthetic Dermatology PA
NPI 1225101231 · Dermatology Physician · Clermont, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aesthetic Dermatology PA is a Dermatology Physician organization in Clermont, FL (NPI 1225101231).
Provider details
- NPI number
- 1225101231
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Allyn, Medical Director(352) 243-2544
- License
- ME70658 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 13953 Ne 86th Ter Ste 100Lady Lake, FL 32159-6832Phone: (352) 243-2544Fax: (352) 243-2745
- 2701 Rew CirOcoee, FL 34761-2991Phone: (321) 732-5807Fax: (321) 219-8375
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Frequently asked questions
- What is Aesthetic Dermatology PA's NPI number?
- Aesthetic Dermatology PA's National Provider Identifier (NPI) is 1225101231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aesthetic Dermatology PA?
- Aesthetic Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Aesthetic Dermatology PA located?
- Aesthetic Dermatology PA's practice location on file with NPPES is 210 N Highway 27 Ste 1, Clermont, FL 34711-2411.
- What is Aesthetic Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Aesthetic Dermatology PA is (352) 243-2544.
- Does Aesthetic Dermatology PA accept Medicare?
- Aesthetic Dermatology PA 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 Aesthetic Dermatology PA?
- The authorized official listed on Aesthetic Dermatology PA's NPPES record is David Allyn, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aesthetic Dermatology PA's NPI active?
- Yes — Aesthetic Dermatology PA's NPI (1225101231) is active in the NPPES registry as of the last update on 2025-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.