DR. TINA PICKETT BAISDEN MD
NPI 1396753810
Dermatology in Detroit, MI

Q: What is Tina Pickett Baisden's NPI number?

The NPI number for Tina Pickett Baisden is 1396753810. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Tina Pickett Baisden's specialty?

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

Active since August 03, 2006PECOS Enrolled

83.98/100

CMS Quality Rating

3990 JOHN R ST, DETROIT, MI 48201(313) 577-5980 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2023, Dec 7, 2023, Mar 11, 2021 (3 updates tracked since 2021).

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About Dr. Tina Pickett Baisden Md NPPES

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

DR. TINA PICKETT BAISDEN MD (NPI 1396753810) is an individual dermatology provider in Detroit, Michigan, licensed in Michigan (4301057574) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1396753810

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. TINA PICKETT BAISDENCredential: MD

Location Address3990 JOHN R STDetroit, MI 48201-2018

Mailing Address400 Mack AveDetroit, MI 48201-2136

Phone(313) 577-5980

Sole ProprietorYes

Enumeration DateAugust 3, 2006

Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1396753810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MI · 4301057574

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.

3990 JOHN R ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 116510 19 Mile RdClinton Township, MI 48038-1106 · Phone (586) 263-7200 · Fax (586) 286-8007

Other Identifiers 2

Other070015591MI · Railroad Medicare

Other0706359621MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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. Tina Pickett Baisden 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 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.

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.

83.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

Improvement Activities

Cost

68.15

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.

KIMBERLY DAWN HARRIS CRNA

Nurse Anesthetist, Certified Registered