Active NPI
Cameron Wales
- Dermatopathology (Pathology) Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- M-16213
- Practice address
- 14 Del Prado Blvd N Ste 201
Cape Coral, FL 33909-2797 - Phone
- (239) 242-1940
- Fax
- (239) 772-5440
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | ME157824 | FL | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | M-16213 | ID | Primary |
Addresses
Primary practice location
14 Del Prado Blvd N Ste 201
Cape Coral, FL 33909-2797
Mailing address
8381 Riverwalk Park Blvd Ste 101
Fort Myers, FL 33919-8760
Phone (239) 242-1940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-16213 | Other | ID | MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416004376 | FL | Practitioner - Pathology | 7214276674 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Univ of Central Florida, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associates in Dermatology M D P L
Practice addresses (Care Compare)
14 Del Prado N Blvd
Suite 301
Cape Coral, FL 33909-2797
Phone 2399365425221
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.64 of 100
- Quality
- 70.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.38
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-16213 | ID | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Dermatology M D P L | Current | Accepting new patients | |
| Ada West Dermatopathology, LLC | Current | Accepting new patients |
Locations
14 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 242-1940
14 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone 2399365425221
8381 Riverwalk Park Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 936-5425
1618 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 884-3376
1618 S Millenium Way
Ste 220
Meridian, ID 83642
Phone (208) 884-3376
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00020
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Meridian, ID
- NPI 1760730436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1538696455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8381 RIVERWALK PARK BLVD STE 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339198760",
"telephone_number": "239-242-1940",
"fax_number": "239-772-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 DEL PRADO BLVD N STE 201",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092797",
"telephone_number": "239-242-1940",
"fax_number": "239-772-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALES",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME157824",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "ID",
"license": "M-16213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "M-16213",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.