DR. ANTHONY JOSEPH BADAME M.D.
NPI 1285676551
Dermatology in San Jose, CA

Active since June 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0608454 · Certificate of Compliance
97.34/100
CMS Quality Rating
2025 FOREST AVE, SUITE 9, SAN JOSE, CA 95128(408) 297-4200(408) 297-2503 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Joseph Badame M.d. NPPES

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

DR. ANTHONY JOSEPH BADAME M.D. (NPI 1285676551) is an individual dermatology provider in San Jose, California, licensed in California (A46257) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through April 14, 2027, and is a graduate of Tulane University School Of Medicine (1986).

NPPES Registry Identity

NPI1285676551
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANTHONY JOSEPH BADAMECredential: M.D.
Location Address2025 FOREST AVE, SUITE 9San Jose, CA 95128-4806
Mailing Address2025 Forest Ave, Suite 9San Jose, CA 95128-4806 · (408) 297-4200 · Fax (408) 297-2503
Fax(408) 297-2503
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1986
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285676551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A46257
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.
2025 FOREST AVE, San Jose, CA 95128

Other Identifiers 2

Medicare UPINE72056CA
Medicare ID-Type Unspecified00A462571CA

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. Anthony Joseph Badame M.d. 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 ID840486858
PECOS Enrollment IDI20101201001246
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0608454

Anthony J Badame MD · San Jose, CA
Active · expires Apr 14, 2027
CLIA Number05D0608454
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorAnthony J. Badame MD
Laboratory Phone(408) 297-4200
Laboratory LocationAnthony J Badame MD2025 Forest Ave, Ste 9, San Jose, CA 95128
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 21

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.

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.
1,542 services308 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.
1,375 services760 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.
605 services438 patients
Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
578 services26 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
326 services267 patients
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275
This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
228 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

97.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.69
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%28 patients
Melanoma: Continuity of Care - Recall System
100%80 patients
Psoriasis: Clinical Response to Systemic Medications
100%21 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims660 services$1.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Dentist
2025 FOREST AVE, SUITE 1
SAN JOSE, CA 95128
Dentist
2025 FOREST AVE, SUITE #3
SAN JOSE, CA 95128
Dentist
2025 FOREST AVE, SUITE #7
SAN JOSE, CA 95128
Clinic/Center (Oral and Maxillofacial Surgery)
2025 FOREST AVE, SUITE 6
SAN JOSE, CA 95128
Specialist
2025 FOREST AVE, SUITE 1
SAN JOSE, CA 95128

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 Anthony Badame's NPI number?

The NPI number for Anthony Badame is 1285676551. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Anthony Badame located?

Anthony Badame practices at 2025 Forest Ave Suite 9, San Jose, CA 95128. The listed phone number is (408) 297-4200.

What is Anthony Badame's specialty?

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

Is Anthony Badame enrolled in Medicare?

Yes. Anthony Badame 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.

Does Anthony Badame hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0608454) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anthony Badame was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.