Trenton Drew Custis (NPI# 1356575344, PAC ID# 1658599832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1356575344 |
| PAC ID by PECOS | 1658599832 |
| Professional Enrollment ID | I20140829001537 |
| Full Name | Trenton Drew Custis |
| Organization Legal Name | PDP OF TEXAS, PLLC |
| Address |
7000 Preston Rd Suite 500 Plano TX 75024-2573 |
| Phone Number | 2149873376 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2466455050 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3900 Junius St, Suite 710, Dallas, TX 75246-1627 | 2148239577 | PDP OF TEXAS, PLLC |
| 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 | 2146926566 | PDP OF TEXAS, PLLC |
| 21800 Katy Fwy, Suite 200, Katy, TX 77449-7780 | 7137711100 | PDP OF TEXAS, PLLC |
| 7000 Preston Rd, Suite 500, Plano, TX 75024-2573 | 2149873376 | PDP OF TEXAS, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 24% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% |
| Organization Legal Name | PDP OF TEXAS, PLLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Wright | Dermatology | Pdp of Texas, Pllc | 7445 Las Colinas Blvd, Irving, TX 75063-7561 |
| Thao U Nguyen | Dermatology | Pdp of Texas, Pllc | 3310 Broadway Blvd, Garland, TX 75043-1531 |
| Jason J Bentow | Dermatology | Pdp of Texas, Pllc | 4685 Eldorado Pkwy, 100 Dermatology Consultants of Frisco, Frisco, TX 75033-0289 |
| Asra Ali | Dermatology | Pdp of Texas, Pllc | 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 |
| Mara Melanie Dacso | Pathology | Pdp of Texas, Pllc | 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 |
| Angela G Bowers | Dermatology | Pdp of Texas, Pllc | 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 |
| Mary E Fleischli | Dermatology | Pdp of Texas, Pllc | 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 |
| Darlene E Gou | Dermatology | Pdp of Texas, Pllc | 7777 Forest Ln, Suite C760, Dallas, TX 75230-6801 |
| Daniel S Achtman | Dermatology | Pdp of Texas, Pllc | 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 |
| Dawn D Wells | Physician Assistant | Pdp of Texas, Pllc | 5924 Royal Ln, Suite 104, Dallas, TX 75230-7891 |
| Street Address |
7000 PRESTON RD SUITE 500 |
| City | PLANO |
| State | TX |
| Zip | 75024-2573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison F. Singer | Dermatology | Pdp of Texas, Pllc | 7000 Preston Rd, Suite 500, Plano, TX 75024-2573 |
| Julie C Rembold | Dermatology | Pdp of Texas, Pllc | 7000 Preston Rd, Suite 500, Plano, TX 75024-2573 |
| Jennifer Chia Fang Lai | Dermatology | Pdp of Texas, Pllc | 7000 Preston Rd, Suite 500, Plano, TX 75024-2573 |
| Christopher Welch Carr | Dermatology | Pdp of Texas, Pllc | 7000 Preston Rd, Suite 500, Plano, TX 75024-2573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Clarke | Clinical Social Worker | 8105 Rasor Blvd, Suite 120, Plano, TX 75024-0116 | |
| Robert Melvin Birenbaum | Optometry | 7500 Windrose Ave, Suite B180, Plano, TX 75024-0163 | |
| Michelle Elizabeth Dang | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 7211 Preston Rd, Suite 2100, Plano, TX 75024-0258 |
| David Lewis Perkins | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 7211 Preston Rd, Suite 2100, Plano, TX 75024-0258 |
| Florence A Nwagwu | Anesthesiology | Orthomed Staffing LLC | 7211 Preston Rd, Suite 2100, Plano, TX 75024-0258 |
| Lisa Kim Fulfor | Clinical Social Worker | 8105 Rasor Blvd, Suite 225, Plano, TX 75024-0265 | |
| Evelyn Elaine Conley | Clinical Social Worker | 8105 Rasor Blvd, Suite 120, Plano, TX 75024-0336 | |
| Harinineeraja Meda | Family Medicine | 4508 Legacy Dr, Suite 400, Plano, TX 75024-2189 | |
| Rajiv M Joseph | Neurology | 7920 Preston Rd, Suite 100, Plano, TX 75024-2345 | |
| Haideh B Karimi | Optometry | 7920 Preston Rd, Suite 200, Plano, TX 75024-2346 | |
| Find all physicians in zip 75024 | |||
| City | PLANO |
| Zip Code | 75024 |
| Specialty | DERMATOLOGY |
| City + Specialty | PLANO + DERMATOLOGY |
Please comment or provide details below to improve the information on Trenton Drew Custis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.