Lp Derm LLC
NPI 1538875786 · Dermatology Physician · Providence, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lp Derm LLC is a Dermatology Physician organization in Providence, UT (NPI 1538875786).
Provider details
- NPI number
- 1538875786
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lp Derm LLC
- Organization subpart
- Yes
- Authorized official
- Cory Maughan, Owner(435) 554-8442
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Lone Pine Dermatology
Additional practice locations (2)
- 970 Medical Dr Ste 311Brigham City, UT 84302-3284Phone: (435) 554-8442
- 1325 N 600 E Ste 101Logan, UT 84341-6743Phone: (435) 554-8442
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
- Certified
- 2023-01-30
Frequently asked questions
- What is Lp Derm LLC's NPI number?
- Lp Derm LLC's National Provider Identifier (NPI) is 1538875786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lp Derm LLC?
- Lp Derm LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lp Derm LLC located?
- Lp Derm LLC's practice location on file with NPPES is 517 W 100 N Ste 103, Providence, UT 84332-9824.
- What is Lp Derm LLC's phone number?
- The practice phone number listed in the NPPES registry for Lp Derm LLC is (435) 554-8442.
- Does Lp Derm LLC accept Medicare?
- Lp Derm 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 Lp Derm LLC?
- The authorized official listed on Lp Derm LLC's NPPES record is Cory Maughan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lp Derm LLC's NPI active?
- Yes — Lp Derm LLC's NPI (1538875786) is active in the NPPES registry as of the last update on 2023-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.