Individual provider Active NPI

Debra D Fett Desmond, M.D.

  • Dermatology Physician
  • Fort Myers, FL
National Provider Identifier
1386686020
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 68928 Issued in FL
Practice address
14071 Metropolis Ave Ste 2
Fort Myers, FL 33912-4330
Phone
(239) 694-7546
Fax
(239) 694-1571
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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 ME 68928 FL Primary

Addresses

Primary practice location

14071 Metropolis Ave Ste 2
Fort Myers, FL 33912-4330

Mailing address

14071 Metropolis Ave Ste 2
Fort Myers, FL 33912-4330
Phone (239) 694-7546

Other names 1

  • Debra D Fett Professional name

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
I20041008000119 FL Practitioner - Dermatology 1658330204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Mayo Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14071 Metropolis Ave
Fort Myers, FL 33912-4330
Phone (239) 694-7546

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as individual
Quality
96.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision112
Removal of skin lesions1661
Removal or shaving of skin growth25
Skin biopsy779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 68928FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Solutions a Profession Limited Liability Com Dermatology CurrentSince Jun 23, 2008 Accepting new patients
Mayo Clinic Past Accepting new patients
Largo Physician Group, LLC PastSince Nov 4, 2012 Accepting new patients
University Dermatology, Inc. Dermatology PastSince Jan 1, 2007 Accepting new patients
Sun Coast Hospital Inc Past Accepting new patients
Fort Myers Dermatopathology PA PastSince Jan 1, 2016 Accepting new patients

Locations

2002 Del Prado Blvd S
Ste 205
Cape Coral, FL 33990
Phone (239) 471-2818

14361 Metropolis Ave
Ste 2
Fort Myers, FL 33912
Phone (239) 694-7546

14071 Metropolis Ave
Ste 2
Fort Myers, FL 33912
Phone (239) 694-7546

14071 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 694-7546

Organizations & group practices 6

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1386686020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 METROPOLIS AVE STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-694-7546",
            "fax_number": "239-694-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 METROPOLIS AVE STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-694-7546",
            "fax_number": "239-694-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETT DESMOND",
        "first_name": "DEBRA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 68928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "FETT",
            "middle_name": "D",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.