DR. ANDREW MICHAEL BASNETT (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1013145234

DR. ANDREW MICHAEL BASNETT (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 2010026609 (MO). The NPI Number for DR. ANDREW MICHAEL BASNETT (M.D.) is 1013145234

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW MICHAEL BASNETT (M.D.)
NPI
1013145234
Phone
Not provided
Address
BLDG H 2005 KNIGHT LANE
Enumeration Date
25 June 2009
Last Update Date
25 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5738761616
Graduation Year
2005 (21 years ago)
PAC ID
2769715622
Group Practice PAC ID
4789803065
Professional Enrollment ID
I20190607000548
Address ID
MO652016625CO401XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. ANDREW MICHAEL BASNETT (M.D.)

  • BLDG H 2005 KNIGHT LANE

    ATTN: MEDICAL STAFF SUPPORT SERVICES

    JACKSONVILLE, FL 322121098

    Phone:

    Type: Mailing

  • Bldg H 2005 Knight Lane

    Attn: Medical Staff Support Services

    Jacksonville, FL 322121098

    Phone: (619) 532-8038

    Type: Location

  • Boone Clinic, 401, North Keene Street, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 65201

    Phone: (573) 876-1616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $3,777.

Total Amount is formed as General ($3,777) + Research ($0) + Ownership ($0) = $3,777.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,101).

Total Amount

$3,777

General + Research + Ownership

Payments

203

Total payment records

General Amount

$3,777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190607000548IDermatologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,357475$0
99213Established patient office or other outpatient visit, 20-29 minutes1,014718$0
17000Destruction of precancer skin growth, 1 growth930651$0
11102Biopsy of related skin growth, first growth692548$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks419311$0
View full utilization report →

Insurance plans in this area (ZIP 32212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789803065View full group profile
NameSpecialtyState
Physician AssistantIN
Nurse PractitionerMO
D E R M A T O L O G YMO
Nurse PractitionerMO
D E R M A T O L O G YMO
Nurse PractitionerMO
Physician AssistantMO
D E R M A T O L O G YMO
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find DR. ANDREW MICHAEL BASNETT (M.D.)'s NPI?
You can confirm DR. ANDREW MICHAEL BASNETT (M.D.) with NPI 1013145234; it appears in the national provider directory.
Is DR. ANDREW MICHAEL BASNETT (M.D.)'s NPI currently valid?
The extract we use shows DR. ANDREW MICHAEL BASNETT (M.D.) as active.
Does DR. ANDREW MICHAEL BASNETT (M.D.) list a primary specialty?
If you are matching referrals, note MOHS-Micrographic Surgery Physician for DR. ANDREW MICHAEL BASNETT (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ANDREW MICHAEL BASNETT (M.D.)?
The page summarizes Jacksonville, Florida for DR. ANDREW MICHAEL BASNETT (M.D.); expand the address list for detail.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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