DEBRA A. COATS-WALTON MD
NPI 1346295219
Dermatology in Bowie, MD

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
67/100
CMS Quality Rating
4321 COLLINGTON RD STE 230, BOWIE, MD 20716(301) 809-4321(301) 809-5798 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2019, Aug 27, 2018, Jun 29, 2018 (3 updates tracked since 2018).

About Debra A. Coats-walton Md NPPES

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

DEBRA A. COATS-WALTON MD (NPI 1346295219) is an individual dermatology provider in Bowie, Maryland, licensed in District Of Columbia (MD21166) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1346295219
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDEBRA A. COATS-WALTONCredential: MD
Location Address4321 COLLINGTON RD STE 230Bowie, MD 20716
Mailing Address4321 Collington Rd Ste 230Bowie, MD 20716-2261 · (301) 809-4321 · Fax (301) 890-5798
Fax(301) 809-5798
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 22, 2006
Last NPPES UpdateSeptember 23, 20193 updates tracked since enumeration
NPI 1346295219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in DC · MD21166
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.
4321 COLLINGTON RD STE 230, Bowie, MD 20716

Other Identifiers 5

Medicaid560001400MD
Medicaid102223900FL
Medicaid025713700DC
Medicaid5902673VA
OtherME138725FL · Fl License

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

Debra A. Coats-walton 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 ID9133178049
PECOS Enrollment IDI20050118000906
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 10

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 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.
365 services228 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.
164 services164 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.
158 services110 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.
133 services99 patients
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.
70 services26 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.
59 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20716 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.63
Promoting Interoperability86
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
0%24 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
49%4,133 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%2,589 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,097 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 18% · 933 patients
18%933 patients
Provide Patients Electronic Access to Their Health Information
63%974 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 694 patients
Patients totalRate: 0% · 694 patients
0%694 patients5/55-star benchmark: 100%
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 2

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

Nurse Practitioner (Family)
4321 COLLINGTON RD STE 230
BOWIE, MD 20716
Nurse Practitioner (Family)
4321 COLLINGTON RD STE 230
BOWIE, MD 20716

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 Debra Coats-walton's NPI number?

The NPI number for Debra Coats-walton is 1346295219. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Debra Coats-walton located?

Debra Coats-walton practices at 4321 Collington Rd Ste 230, Bowie, MD 20716. The listed phone number is (301) 809-4321.

What is Debra Coats-walton's specialty?

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

Is Debra Coats-walton enrolled in Medicare?

Yes. Debra Coats-walton 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 Debra Coats-walton was last updated on September 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.