BERNICE BAROUDI DO
NPI 1053806000
Dermatology in Port Charlotte, FL

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 627-5155 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2022, Dec 6, 2022, Jun 22, 2018 (3 updates tracked since 2018).

About Bernice Baroudi Do NPPES

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

BERNICE BAROUDI DO (NPI 1053806000) is an individual dermatology provider in Port Charlotte, Florida, licensed in Florida (OS19199) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Lake Erie Col Of Osteopathic Medicine, Bradenton (2018).

NPPES Registry Identity

NPI1053806000
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameBERNICE BAROUDICredential: DO
Location Address3222 TAMIAMI TRLPort Charlotte, FL 33952-8048
Mailing Address3222 Tamiami TrlPort Charlotte, FL 33952-8048 · (941) 627-5155
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2018
Enumeration DateJune 22, 2018
Last NPPES UpdateDecember 15, 20223 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
NPI 1053806000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · OS19199
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3222 TAMIAMI TRL, Port Charlotte, FL 33952

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

Bernice Baroudi Do 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 ID3375913601
PECOS Enrollment IDI20230103002061
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 20

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.

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.
121 services80 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
114 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services61 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.
64 services64 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
60 services41 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
38 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Ambulatory Surgical)
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Plastic Surgery
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Specialist
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Dermatology
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952

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 Bernice Baroudi's NPI number?

The NPI number for Bernice Baroudi is 1053806000. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Bernice Baroudi located?

Bernice Baroudi practices at 3222 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 627-5155.

What is Bernice Baroudi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Bernice Baroudi enrolled in Medicare?

Yes. Bernice Baroudi 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.

When was this NPI record last updated?

The NPPES record for Bernice Baroudi was last updated on December 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.