Diane L Baird, M.D.

Individual provider Active NPI Dermatology Physician · Eugene, OR

NPI 1891734448 · NPPES record last updated Jan 31, 2011

Key facts

NPI
1891734448
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
MD19050 (OR)
Practice address
360 S.Garden Way
Suite 210
Eugene, OR 97401
Phone
(541) 683-3202
Fax
(541) 868-1063
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diane L Baird MD PC (2 clinicians)

Practice addresses (Care Compare)

360 S Garden Way
Suite 210
Eugene, OR 97401-8186
Phone (541) 683-3202

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100 (group)
Quality
87.14
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of skin lesions797
Removal of nail tissue1-10
Removal or shaving of skin growth64
Skin biopsy203

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040520001281 OR Practitioner - Dermatology 8325039076 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19050ORMDDermatology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD19050 OR Yes

Addresses

Primary practice location

360 S.Garden Way
Suite 210
Eugene, OR 97401

Mailing address

PO Box 10605
Eugene, OR 97440-2605
Phone (541) 683-3202

Other identifiers

IdentifierTypeStateIssuer
128152MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2011.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1891734448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10605",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974402605",
            "telephone_number": "541-683-3202",
            "fax_number": "641-868-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S.GARDEN WAY",
            "address_2": "SUITE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-683-3202",
            "fax_number": "541-868-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD19050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128152",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

All providers in Eugene, OR · Dermatology Physician in Oregon

Sources for this page

Verify at the official NPI Registry.