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DR. BARBARA L. VAIL M.D
NPI 1992722672
Dermatology in Newtown, PA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
11 FRIENDS LN STE 115, NEWTOWN, PA 18940(609) 799-1600(267) 358-5166 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, Jun 12, 2025, Apr 5, 2021 (3 updates tracked since 2021).

About Dr. Barbara L. Vail M.d NPPES

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

DR. BARBARA L. VAIL M.D (NPI 1992722672) is an individual dermatology provider in Newtown, Pennsylvania, licensed in Pennsylvania (MD423627) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (1999).

NPPES Registry Identity

NPI1992722672
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. BARBARA L. VAILCredential: M.D
Location Address11 FRIENDS LN STE 115Newtown, PA 18940-1885
Mailing Address11 Friends Ln Ste 115Newtown, PA 18940-1885 · (609) 799-1600 · Fax (267) 358-5166
Phone(609) 799-1600
Fax(267) 358-5166
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 1999
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1992722672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD423627
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.
11 FRIENDS LN STE 115, Newtown, PA 18940
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Barbara L. Vail 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 ID244208858
PECOS Enrollment IDI20040922000046
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

3

Medicare enrollment records show Barbara Vail reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Dermatology Physicians, P.C.
0.1 mi
Dermatology
11 FRIENDS LN STE 115
Newtown, PA 18940
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Alliance Dermatology Physicians PC
  • 5 clinicians in this Medicare group
NPI 1093368185 (609) 799-1600
City Dermatology
8.1 mi
Dermatology
3260 TILLMAN DR, SUITE 120
Bensalem, PA 19020
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1134483274 (267) 332-0321
Pennsylvania Dermatology Partners Inc
58 mi
Dermatology
2913 WINDMILL RD STE 7, SPRING COMMONS
Sinking Spring, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group
NPI 1023382918 (610) 288-2908

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 11

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 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.
127 services91 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
107 services88 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
52 services31 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.
50 services13 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.
46 services46 patients
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.
44 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.75
Promoting Interoperability97
Improvement Activities40
Cost46.59

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
98%724 patients4/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
43%1,373 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%189 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.
100%6,502 patients5/55-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.
90%4,177 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
0%4,926 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
60%1,373 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
72%2,952 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,691 patients
Patients tobacco: 96% · 1,691 patients
58%93 patients3/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
80%1,691 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
96%4,926 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 certified EHR technology to the patient (or the patient-authorized representative), or in…
0%4,926 patients1/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
99%313 patients4/55-star benchmark: 100%
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
97%486 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 5

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

ALLIANCE DERMATOLOGY PHYSICIANS, P.C.
Dermatology
11 FRIENDS LN STE 115
NEWTOWN, PA 18940
Bucks County (609) 799-1600
DR. JENNIFER RAY RAJAN M.D.
Dermatology
11 FRIENDS LN STE 115
NEWTOWN, PA 18940
Bucks County (609) 799-1600
JACK LEE MD
Dermatology (MOHS-Micrographic Surgery)
11 FRIENDS LN STE 115
NEWTOWN, PA 18940
Bucks County (609) 799-1600
DR. LUSIA S YI DO, MS, FAOCD
Dermatology
11 FRIENDS LN STE 115
NEWTOWN, PA 18940
Bucks County (609) 799-1600
ALLIANCE DERMATOLOGY PHYSICIANS, P.C.
Dermatology
11 FRIENDS LN STE 115
NEWTOWN, PA 18940
Bucks County (609) 799-1600

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 Barbara Vail's NPI number?

The NPI number for Barbara Vail is 1992722672. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Barbara Vail located?

Barbara Vail practices at 11 Friends Ln Ste 115, Newtown, PA 18940. The listed phone number is (609) 799-1600.

What is Barbara Vail's specialty?

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

Is Barbara Vail enrolled in Medicare?

Yes. Barbara Vail 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 Barbara Vail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Vail reassigns Medicare benefits to 3 organizations: Alliance Dermatology Physicians, P.C. (Newtown, PA), City Dermatology (Bensalem, PA) and Pennsylvania Dermatology Partners Inc (Sinking Spring, PA). 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 Barbara Vail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Vail accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Barbara Vail 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.

When was this NPI record last updated?

The NPPES record for Barbara Vail was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.