Individual provider Active NPI

Debra L Bailey, M.D.

  • Dermatology Physician
  • Naples, FL
National Provider Identifier
1285622852
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME106898 Issued in FL
Practice address
2350 Vanderbilt Beach Rd
Suite 301
Naples, FL 34109-2760
Phone
(239) 444-3376
Fax
(239) 316-3001
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0041689 MD
Dermatology Physician 207N00000X ME106898 FL Primary

Addresses

Primary practice location

2350 Vanderbilt Beach Rd
Suite 301
Naples, FL 34109-2760

Mailing address

2350 Vanderbilt Beach Rd
Naples, FL 34109-2760
Phone (239) 444-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140908002658 FL Practitioner - Dermatology 3173423761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Tide Dermatology Center LLCGroup PAC ID 8820217763, 2 clinicians

Practice addresses (Care Compare)

599 9TH St N
Suite 300
Naples, FL 34102-5624
Phone (239) 444-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision247
Removal of tissue1-10
Removal of skin lesions3041
Removal of nail tissue1-10
Removal or shaving of skin growth23
Skin biopsy1285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
High Tide Dermatology Center LLC Dermatology CurrentSince Aug 1, 2014 Accepting new patients
Skin Wellness Physicians, LLC Dermatology CurrentSince Oct 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Derm Associates LLC Dermatology PastSince Aug 1, 2018 Accepting new patients

Locations

599 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 444-3376

2350 Vanderbilt Beach Rd
Ste 301
Naples, FL 34109
Phone (239) 356-3503

8625 Collier Blvd
Naples, FL 34114
Phone (239) 732-0044

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: m.stover@hightidederm.emadirect.md

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1285622852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 VANDERBILT BEACH RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092760",
            "telephone_number": "239-444-3376",
            "fax_number": "239-316-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 VANDERBILT BEACH RD",
            "address_2": "SUITE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092760",
            "telephone_number": "239-444-3376",
            "fax_number": "239-316-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0041689",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME106898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.