Individual provider Active NPI

Mary F Barber, M.D.

  • MOHS-Micrographic Surgery Physician
  • Summerfield, FL
National Provider Identifier
1003812207
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME0062067 Issued in FL
Practice address
10973 SE 175TH PL Ste 100
Summerfield, FL 34491-0905
Phone
(352) 259-6553
Fax
(352) 873-9397
NPI assigned
Jun 22, 2005
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0062067 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME0062067 FL Primary
Procedural Dermatology Physician 207NS0135X ME0062067 FL

Addresses

Primary practice location

10973 SE 175TH PL Ste 100
Summerfield, FL 34491-0905

Mailing address

10973 SE 175TH PL Ste 100
Summerfield, FL 34491-8983
Phone (352) 259-6553

Other identifiers 1

IdentifierTypeStateIssuer
372699100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090801000012 FL Practitioner - Dermatology 3779636121 Reassigns benefits to 1 organization
I20230811000372 GA Practitioner - Dermatology 3779636121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer Center of Central Florida PAGroup PAC ID 5597818948, 4 clinicians
Skin Cancer Center of North Georgia, PCGroup PAC ID 3870941065, 3 clinicians

Practice addresses (Care Compare)

10973 SE 175TH PL
Suite 100
Summerfield, FL 34491-0905
Phone (352) 259-6553

405 Fannin Industrial Park
Blue Ridge, GA 30513-4191
Phone (352) 259-6553

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision184
Removal of tissue1-10
Removal of skin lesions351
Removal of skin cancer704
Removal or shaving of skin growth1-10
Skin biopsy137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer Center of North Georgia PC Dermatology CurrentSince Nov 16, 2023 Accepting new patients
Skin Cancer Center of Central Florida, P.a. Dermatology CurrentSince Jun 1, 2001 Accepting new patients
Ocala Dermatology & Skin Cancer Center, P.a. Dermatology CurrentSince Mar 15, 1996 Accepting new patients
Skin Cancer and Cosmetic Dermatology Center PC Dermatology PastSince Feb 4, 2024 Accepting new patients

Locations

3233 SW 33rd Rd
Ste 101
Ocala, FL 34474
Phone (352) 237-2322

10973 SE 175th Pl
Ste 100
Summerfield, FL 34491
Phone (352) 259-6553

405 Fannin Industrial Park
Blue Ridge, GA 30513
Phone (352) 259-6553

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mfbarber@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1003812207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10973 SE 175TH PL STE 100",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918983",
            "telephone_number": "352-259-6553",
            "fax_number": "352-873-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10973 SE 175TH PL STE 100",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344910905",
            "telephone_number": "352-259-6553",
            "fax_number": "352-873-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "MARY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0062067",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME0062067",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0062067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372699100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.