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DR. ARTHUR JOSEPH DEBAISE MD
NPI 1235276056
Plastic Surgery in Orlando, FL

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2501 N ORANGE AVE, SUITE 411, ORLANDO, FL 32803(407) 478-0517(407) 646-7370 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Arthur Joseph Debaise Md NPPES

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

DR. ARTHUR JOSEPH DEBAISE MD (NPI 1235276056) is an individual plastic surgery provider in Orlando, Florida, licensed in Florida (ME 57231) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Rutgers New Jersey Medical School (1987).

NPPES Registry Identity

NPI1235276056
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. ARTHUR JOSEPH DEBAISECredential: MD
Location Address2501 N ORANGE AVE, SUITE 411Orlando, FL 32803-4644
Mailing Address2501 N Orange Ave, Suite 411Orlando, FL 32803-4644 · (407) 478-0517 · Fax (407) 646-7370
Phone(407) 478-0517
Fax(407) 646-7370
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1987
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1235276056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME 57231
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2501 N ORANGE AVE, Orlando, FL 32803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arthur Joseph Debaise 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 ID3173601846
PECOS Enrollment IDI20090610000465
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Arthur Debaise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medical Group Inc
2.0 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Arthur J Debaise MD PA
3.2 mi
Specialist
320 EDINBURGH DR, SUITE A
Winter Park, FL 32792
  • Reassigned Medicare billing, Florida enrollment
NPI 1104067032 (407) 539-3455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services24 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
32 services32 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES

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

MR. BRADFORD CHRISTIAN ANGIULLI PA-C
Physician Assistant
2501 N ORANGE AVE, SUITE 411
ORLANDO, FL 32803
Orange County (407) 478-0517

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 Arthur Debaise's NPI number?

The NPI number for Arthur Debaise is 1235276056. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Arthur Debaise located?

Arthur Debaise practices at 2501 N Orange Ave Suite 411, Orlando, FL 32803. The listed phone number is (407) 478-0517.

What is Arthur Debaise's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Arthur Debaise enrolled in Medicare?

Yes. Arthur Debaise 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.

Which organizations bill Medicare for Arthur Debaise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Debaise reassigns Medicare benefits to 2 organizations: Florida Hospital Medical Group Inc (Orlando, FL) and Arthur J Debaise MD PA (Winter Park, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Debaise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Debaise accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Arthur Debaise 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 Arthur Debaise affiliated with any hospitals?

According to CMS data, Arthur Debaise is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Arthur Debaise was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.