Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Charles Carlisle, MD

Individual provider Dermatology Physician · NPI 1639231087

Dr. David Charles Carlisle, MD is a Micrographic Dermatologic Surgery (Mds) in Morgantown, West Virginia. Graduated from West Virginia University School of Medicine in 2001, 25 years ago. Practices with Mountain State Medical Specialties PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in Ohio, Pennsylvania and West Virginia.

Years since qualifying
25
Trained at
West Virginia University School of Medicine
Licensed in
OH, PA, WV
In the registry since
2006
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

165 Scott Ave Ste 100
Morgantown, WV 26508-8847
Phone: (304) 554-0400
Fax: (304) 554-0404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 20946 (WV)
Dermatology Physician Taxonomy 207N00000X · Licence MD436112 (PA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD436112 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 20946 (WV)
Dermatology Physician Taxonomy 207N00000X · Licence 90420 (OH)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 90429 (OH)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 90429 (OH)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 20946 (WV)

Record details

NPI number1639231087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESJanuary 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Mountain State Medical Specialties Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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