Epiphany Dermatology of Montana, PLLC
NPI 1902455074 · Dermatology Physician · Butte, MT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Epiphany Dermatology of Montana, PLLC is a Dermatology Physician organization in Butte, MT (NPI 1902455074).
Provider details
- NPI number
- 1902455074
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Director/Managing Employee(512) 960-5760
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
7 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
- 2019-09-10
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Frequently asked questions
- What is Epiphany Dermatology of Montana, PLLC's NPI number?
- Epiphany Dermatology of Montana, PLLC's National Provider Identifier (NPI) is 1902455074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epiphany Dermatology of Montana, PLLC?
- Epiphany Dermatology of Montana, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Epiphany Dermatology of Montana, PLLC located?
- Epiphany Dermatology of Montana, PLLC's practice location on file with NPPES is 24 E Broadway St, Butte, MT 59701-9334.
- What is Epiphany Dermatology of Montana, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Epiphany Dermatology of Montana, PLLC is (406) 723-7272.
- Does Epiphany Dermatology of Montana, PLLC accept Medicare?
- Epiphany Dermatology of Montana, 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 Epiphany Dermatology of Montana, PLLC?
- The authorized official listed on Epiphany Dermatology of Montana, PLLC's NPPES record is Gheorghe Pusta, Director/Managing Employee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Epiphany Dermatology of Montana, PLLC's NPI active?
- Yes — Epiphany Dermatology of Montana, PLLC's NPI (1902455074) is active in the NPPES registry as of the last update on 2023-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.