Individual provider Active NPI

Donald L Baxter Jr., MD

  • Dermatology Physician
  • Erie, PA
National Provider Identifier
1174523211
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD046556-L Issued in PA
Practice address
3416 State St
Erie, PA 16508-2832
Phone
(814) 456-7548
Fax
(814) 456-5037
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD046556-L PA Primary

Addresses

Primary practice location

3416 State St
Erie, PA 16508-2832

Mailing address

3416 State St
Erie, PA 16508-2832
Phone (814) 456-7548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000114 PA Practitioner - Dermatology 6406871094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Assoc of ErieGroup PAC ID 7719936947, 5 clinicians

Practice addresses (Care Compare)

3416 State St
Erie, PA 16508-2832
Phone (814) 456-7548

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions319
Skin biopsy174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046556-LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Assoc of Erie Dermatology CurrentSince Jun 26, 1992 Accepting new patients

Locations

3416 State St
Erie, PA 16508
Phone (814) 456-7548

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174523211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082832",
            "telephone_number": "814-456-7548",
            "fax_number": "814-456-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082832",
            "telephone_number": "814-456-7548",
            "fax_number": "814-456-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD046556-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.