Stacy Marie Chimento, MD
Individual provider Active NPI Specialist · Bay Harbor Islands, FL
NPI 1962663443 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1962663443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME113060 (FL)
- Practice address
- 1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2029 - Phone
- (305) 866-2177
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aqua Dermatology of Florida, PA
Practice addresses (Care Compare)
1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2010
Phone (305) 866-2177
200 Glades Rd
Suite 1
Boca Raton, FL 33432-1423
Phone (561) 395-7704
3659 S Miami Ave
Suite 6008
Miami, FL 33133-4221
Phone (305) 856-6555
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 609 |
| Removal or shaving of skin growth | 49 |
| Skin biopsy | 190 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120823000757 | FL | Practitioner - Dermatology | 4082861240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naples Center for Dermatology & Riverchase Dermatology | Current |
Accepting new patients | |
| Aqua Dermatology of Florida, PA | Current |
Accepting new patients |
Locations
1111 Kane Concourse
Ste 100
Bay Harbor Islands, FL 33154
Phone (305) 866-2177
200 Glades Rd
Ste 1
Boca Raton, FL 33432
Phone (561) 395-7704
15051 S Tamiami Trl
Ste 203
Fort Myers, FL 33908
Phone (239) 732-5959
3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- schimento@aquadermatology.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME113060 | FL | Yes |
Addresses
Primary practice location
1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2029
Mailing address
15051 S Tamiami TRL Ste 203
Fort Myers, FL 33908-5182
Phone (239) 437-8810
Other providers in Bay Harbor Islands, FL
- Catherine M. Kirchner, M.D. P.a.
- Carly Eyre Chaplin
- Lucy Luyun Chen
- Lila Shoshana Chertman
- Cristina CHI
- Yehuda Chocron
- Jose Manuel Colom
- Dawn Marie Cooperman
- Coral J Villanueva DPM PA
- Anthony Gerard Corbo
All providers in Bay Harbor Islands, FL · Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.