DR. SHERILYN BAUGHMAN MD
NPI 1326108713
Dermatology in Martinez, CA

Active since December 08, 2006PECOS Enrolled
98.3/100
CMS Quality Rating
2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 957-5429 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sherilyn Baughman Md NPPES

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

DR. SHERILYN BAUGHMAN MD (NPI 1326108713) is an individual dermatology provider in Martinez, California, licensed in California (G048323) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326108713
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SHERILYN BAUGHMANCredential: MD
Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156
Mailing Address2500 Alhambra AveMartinez, CA 94553-3156 · (925) 957-5429
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2024
NPPES CertifiedJune 13, 2024
NPI 1326108713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G048323
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License G48323 (CA)
2500 ALHAMBRA AVE, Martinez, CA 94553

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sherilyn Baughman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94553 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%187 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
67%2,575 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%1,745 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%1,596 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%1,596 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,596 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%66 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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Student in an Organized Health Care Education/Training Program
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Dentist
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
General Practice
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Family Medicine
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Surgery
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Otolaryngology
2500 ALHAMBRA AVE
MARTINEZ, CA 94553
Psychiatry & Neurology (Psychiatry)
2500 ALHAMBRA AVE, PES
MARTINEZ, CA 94553

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 Sherilyn Baughman's NPI number?

The NPI number for Sherilyn Baughman is 1326108713. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Sherilyn Baughman located?

Sherilyn Baughman practices at 2500 Alhambra Ave, Martinez, CA 94553. The listed phone number is (925) 957-5429.

What is Sherilyn Baughman's specialty?

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

Is Sherilyn Baughman enrolled in Medicare?

Yes. Sherilyn Baughman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sherilyn Baughman was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.