GRACE AYANDIBU M.D, M.S, LPC
NPI 1023395928
Dermatology - Procedural Dermatology in Wichita Falls, TX

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2637 PLAZA PKWY, WICHITA FALLS, TX 76308(940) 239-9160 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, Jan 17, 2023, Jan 11, 2023 and 2 more (5 updates tracked since 2018).

About Grace Ayandibu M.d, M.s, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE AYANDIBU M.D, M.S, LPC (NPI 1023395928) is an individual procedural dermatology provider in Wichita Falls, Texas, licensed in Texas (T9346) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and maintains a secondary practice location in Wichita Falls.

NPPES Registry Identity

NPI1023395928
Entity TypeIndividualFemale
Primary Taxonomy207NS0135X
Provider Legal NameGRACE AYANDIBUCredential: M.D, M.S, LPC
Location Address2637 PLAZA PKWYWichita Falls, TX 76308-3889
Mailing Address2637 Plaza PkwyWichita Falls, TX 76308-3889 · (940) 666-3060
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 8, 2011
Last NPPES UpdateApril 10, 20235 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1023395928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in TX · T9346
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178007242 (IL)
2637 PLAZA PKWY, Wichita Falls, TX 76308

Secondary Practice Location 1

Location 12637 Plaza PkwyWichita Falls, TX 76308-3889 · Phone (940) 666-3060

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grace Ayandibu M.d, M.s, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103180138
PECOS Enrollment IDI20230228000455
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
4,800 services24 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
767 services168 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
472 services355 patients
Therapy procedure using ultraviolet radiation with tar or petroleum jelly application 96910
This therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
367 services16 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
263 services225 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
217 services217 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (Procedural Dermatology)
2637 PLAZA PKWY
WICHITA FALLS, TX 76308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Ayandibu's NPI number?

The NPI number for Grace Ayandibu is 1023395928. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Grace Ayandibu located?

Grace Ayandibu practices at 2637 Plaza Pkwy, Wichita Falls, TX 76308. The listed phone number is (940) 239-9160.

What is Grace Ayandibu's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Grace Ayandibu enrolled in Medicare?

Yes. Grace Ayandibu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grace Ayandibu accept?

Health plans from Blue Cross and Blue Shield of Texas list Grace Ayandibu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Grace Ayandibu affiliated with any hospitals?

According to CMS data, Grace Ayandibu is affiliated with United Regional Health Care System.

When was this NPI record last updated?

The NPPES record for Grace Ayandibu was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.