DR. ALFRED EUGENE BAYLOR III MD
NPI 1164490397
Surgery in Detroit, MI

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
4160 JOHN R, SUITE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alfred Eugene Baylor Iii Md NPPES

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

DR. ALFRED EUGENE BAYLOR III MD (NPI 1164490397) is an individual surgery provider in Detroit, Michigan, licensed in Michigan (4301072721) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Georgetown University School Of Medicine (1998).

NPPES Registry Identity

NPI1164490397
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ALFRED EUGENE BAYLOR IIICredential: MD
Location Address4160 JOHN R, SUITE 615Detroit, MI 48201-2020
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1183 · (313) 745-4195 · Fax (313) 993-8669
Fax(313) 993-8669
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1998
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 2, 2016
NPI 1164490397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301072721
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4160 JOHN R, Detroit, MI 48201

Other Identifiers 2

Medicaid4738238MI
Medicare PIN0P30630404MI

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

Dr. Alfred Eugene Baylor Iii Md 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 ID6002851193
PECOS Enrollment IDI20050620000793
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 13

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

Internal Medicine (Cardiovascular Disease)
4160 JOHN R, STE 708
DETROIT, MI 48201
Internal Medicine (Nephrology)
4160 JOHN R, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201
Internal Medicine (Cardiovascular Disease)
4160 JOHN R, #525
DETROIT, MI 48201
Internal Medicine (Nephrology)
4160 JOHN R, SUITE 729
DETROIT, MI 48201
Internal Medicine (Rheumatology)
4160 JOHN R, SUITE 917
DETROIT, MI 48201
Internal Medicine (Gastroenterology)
4160 JOHN R, SUITE 702
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Surgery (Surgical Critical Care)
4160 JOHN R, HARPER PROFESSIONAL BLDG STE 615
DETROIT, MI 48201

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 Alfred Baylor's NPI number?

The NPI number for Alfred Baylor is 1164490397. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Alfred Baylor located?

Alfred Baylor practices at 4160 John R Suite 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Alfred Baylor's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alfred Baylor enrolled in Medicare?

Yes. Alfred Baylor 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 Alfred Baylor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Alfred Baylor 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 Alfred Baylor affiliated with any hospitals?

According to CMS data, Alfred Baylor is affiliated with Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Alfred Baylor was last updated on September 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.