Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Benjamin Merrill Perry , DO

Dermatology โ€ข Meridian, ID

Active NPI 1710325758 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4664 N Penngrove Way Ste 100
Meridian, ID 836467442

Call 2088987467 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4664 N Penngrove Way Ste 100

Meridian, ID 836467442

Telephone 2088987467
Fax 2083982120
Organization at the Same NPPES Address or Phone
Mountain Pine Dermatology, Pllc Facility NPI 1659827665

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Salem, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mountain Pine Dermatology Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Medicare patients

600 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $299,740 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $220,420 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,140 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$797,735 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $746.75 across 37 records.

By nature of payment

  • Food and Beverage: $656.76 across 36 records.
  • Education: $89.99 across 1 record.

Reporting-company totals (3 largest of 13)

  • Novartis Pharmaceuticals Corporation: $233.66 across 15 records.
  • Janssen Pharmaceuticals, Inc: $89.99 across 1 record.
  • ABBVIE INC.: $63.08 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Perry has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Perry as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Meridian and Idaho

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Dermatology in Meridian, ID (2024, 13 clinicians with data). Median for this group: 2,178. Middle half: 1,425 to 3,353.

More Medicare Part B services than 60% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: 2,562. Middle half: 1,592 to 4,029.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Dermatology in Meridian, ID (2024, 13 clinicians with data). Median for this group: $142,764. Middle half: $94,038 to $268,951.

A higher Medicare-allowed amount than 80% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: $151,348. Middle half: $102,767 to $277,413.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Dermatology in Meridian, ID (2024, 13 clinicians with data). Median for this group: $91,141. Middle half: $66,398 to $193,486.

A higher Medicare payment amount than 85% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: $114,274. Middle half: $71,477 to $197,383.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Dermatology in Meridian, ID (2024, 13 clinicians with data). Median for this group: 456. Middle half: 371 to 883.

More Part D prescriptions than 95% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: 561. Middle half: 410 to 963.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Dermatology in Meridian, ID (2024, 13 clinicians with data). Median for this group: $122,288. Middle half: $19,396 to $177,622.

A higher Part D drug cost than 90% of clinicians listed under Dermatology in Idaho (2024, 48 clinicians with data). Median for this group: $122,875. Middle half: $18,166 to $348,386.

13 active clinicians are listed under Dermatology with a practice address in Meridian, ID (59 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Meridian

0% of these 13 clinicians have the CMS telehealth indicator.

84.6% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 37 records totaling $746.75.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
TREMFYA General $89.99
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $32.27
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $31.97
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $30.63
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $30.58
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $30.06
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $29.41
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $29.15
Eli Lilly and Company
Food and Beverage
In-kind items and services
OLUMIANT General $28.15
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $24.28
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $23.77
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $22.91
Incyte Corporation
Food and Beverage
Cash or cash equivalent
OPZELURA General $21.94
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
Sotyktu General $21.64
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
NEMLUVIO General $20.97
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
XOLAIR General $19.75
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $18.15
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $18.08
Arcutis Biotherapeutics, Inc.
Food and Beverage
In-kind items and services
Zoryve General $17.23
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
NEMLUVIO General $16.92
Arcutis Biotherapeutics, Inc.
Food and Beverage
In-kind items and services
Zoryve General $16.62
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
Sotyktu General $15.68
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
XOLAIR General $15.01
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $14.42
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $14.38

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
1,294 230 $13.32 $6.14
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
604 433 $175.00 $84.22
17000 Destruction of precancer skin growth, 1 growth
361 280 $138.00 $50.56
11102 Biopsy of related skin growth, first growth
156 136 $200.00 $81.94
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
143 108 $1367.00 $556.01
17110 Destruction of skin growth, 1-14 growths
90 83 $229.00 $101.62
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
84 48 $803.00 $373.04
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
72 64 $626.00 $223.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
68 68 $222.00 $102.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
62 54 $250.00 $118.75
11103 Biopsy of related skin growth, each additional growth
57 34 $108.00 $45.85
17004 Destruction of precancer skin growth, 15 or more growths
47 42 $310.00 $153.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
37 33 $125.00 $52.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
37 13 $15.00 $1.03
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
36 32 $513.00 $111.36
12052 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
28 28 $608.00 $163.45
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
28 23 $1278.00 $547.53
11104 Punch biopsy, first skin growth
22 21 $250.00 $114.03
13121 Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
19 16 $883.00 $191.68
69100 Biopsy of ear
17 11 $208.00 $56.70
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
16 15 $586.00 $127.49
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
15 13 $986.00 $213.15
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks
14 11 $770.00 $356.49
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
12 11 $342.00 $77.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $315.00 $153.96

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Mupirocin Mupirocin 279 6,356 $2,390.25 215
Cephalexin Cephalexin 246 1,767 $1,991.03 209
Doxycycline Hyclate Doxycycline Hyclate 219 3,672 $3,645.81 158
Ketoconazole Ketoconazole 148 5,018 $2,324.26 83
Clobetasol Propionate Clobetasol Propionate 144 4,502 $5,170.18 95
Minoxidil Minoxidil 94 4,683 $630.95 19
Triamcinolone Acetonide Triamcinolone Acetonide 78 2,479 $873.38 50
Fluorouracil Fluorouracil 68 1,947 $6,226.65 64
Desonide Desonide 55 1,524 $3,490.86 40
Betamethasone Dipropionate Betamethasone Dipropionate 54 1,647 $2,187.24 38
Fluconazole Fluconazole 52 2,630 $864.75 25
Tramadol Hcl Tramadol Hcl 43 98 $60.02 40
Dutasteride Dutasteride 42 2,070 $1,815.35 โ€”
Gentamicin Sulfate Gentamicin Sulfate 31 860 $1,170.47 24
Tacrolimus Tacrolimus 30 1,030 $5,697.70 14
Ammonium Lactate Ammonium Lactate 29 925 $432.50 18
Clindamycin Phosphate Clindamycin Phosphate 28 960 $1,658.12 19
Calcipotriene Calcipotriene 26 775 $8,020.22 16
Ciclopirox Ciclopirox 25 750 $1,238.09 11
Tretinoin Tretinoin 23 646 $1,853.26 12
Dupixent Pen Dupilumab 21 560 $78,894.99 โ€”
Skyrizi Pen Risankizumab-Rzaa 21 1,484 $470,224.93 โ€”
Fluocinonide Fluocinonide 18 535 $819.84 โ€”
Spironolactone Spironolactone 14 720 $214.23 โ€”
Valacyclovir Valacyclovir Hcl 14 178 $346.35 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-01
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES ID O1145

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES OR DO168846

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

License # reported to NPPES ID O1145

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES OR PG163364

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20181022002299

Enrollment State Jurisdiction

ID

PECOS Control ID

8022311174

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mountain Pine Dermatology Pllc

1202 E Locust St, Emmett, ID 836172715

Phone: 2088987467

Mountain Pine Dermatology Pllc

4664 N Penngrove Way, Meridian, ID 836467442

Phone: 2088987467

Mountain Pine Dermatology Pllc

3175 Pocahontas Rd, Baker City, OR 978141434

Phone: 2088987467

Mountain Pine Dermatology Pllc

110 Rattlesnake Ave, Mountain Home, ID 836474219

Phone: 2088987467

Secondary Practice Locations

1793 13th St Se

Salem, OR 97302

Phone: 5033628385

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Ladessa Christensen , NP-C

Nurse Practitioner - Family

NPI 1215367685

Nurse Practitioner (Certified)

Dr. Avery Dinallo , DNP, APN, FNP-C

Nurse Practitioner - Family

NPI 1902328404

Doctor of Nursing Practice, Advanced Practice Nurse, Family Nurse Practitioner (Certified)

NPI 1871832881

Doctor of Osteopathic Medicine (D.O.)

NPI 1265795660

Doctor of Osteopathic Medicine (D.O.)

Jennifer Wicklund , FNP-C

Nurse Practitioner - Family

NPI 1871165118

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Dermatology (license number reported to NPPES: OR DO168846)

๐Ÿ“
Updated Practice Location July 05, 2020

Registered at 4664 N PENNGROVE WAY STE 100, MERIDIAN, ID 836467442 (Tel: 2088987467)

๐Ÿ“
Updated Business Mailing Address July 05, 2020

Registered at 4664 N PENNGROVE WAY STE 100, MERIDIAN, ID 836467442 (Tel: 2088987467)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2020

General Practice (license number reported to NPPES: OR PG163364)

๐Ÿ“
Updated Practice Location November 27, 2019

Registered at 1576 W DEER CREST DR STE 100, MERIDIAN, ID 836464643 (Tel: 0000000000)

๐Ÿ“
Updated Business Mailing Address November 27, 2019

Registered at 1576 W DEER CREST DR # 100, MERIDIAN, ID 836464643 (Tel: 2088987467)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2019

Dermatology (license number reported to NPPES: OR DO168846)

๐Ÿ“
Updated Practice Location September 04, 2018

Registered at 1793 13TH ST SE, SALEM, OR 97302 (Tel: 5033628385)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2018

General Practice (license number reported to NPPES: OR PG163364)

โœ…
NPI Profile Active July 17, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 17, 2015

Registered at 1793 13TH ST SE, SALEM, OR 973022541 (Tel: 5033628385)

๐Ÿ“
Business Mailing Address (Initial Record) July 17, 2015

Registered at 1793 13TH ST SE, SALEM, OR 973022541 (Tel: 5033628385)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 17, 2015

Recorded as BENJAMIN PERRY, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2015

Dermatology (license number reported to NPPES: OR DO168846)

๐ŸŸข
Initial NPI Registration & Enumeration June 12, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710325758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2013
Last Update: October 01, 2020
Sole Proprietor: No

Other Dermatology Specialists in Meridian

All Dermatology Specialists in Meridian

Mailing Address

4664 N Penngrove Way Ste 100

Meridian, ID 836467442

Phone: 2088987467

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.