DR. ISSA F BAROUDI (M.D.) – Specialist, NPI 1558303966
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
475 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
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Provider Addresses for DR. ISSA F BAROUDI (M.D.)
3222, Tamiami Trail, Port Charlotte, Charlotte County, Florida, 33952, United States
PORT CHARLOTTE, FL 339528048
Phone: (941) 627-5155
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2012-02-10
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120210000615 | I | Plastic And Reconstructive Surgery | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 79 | 79 | $0 |
| 11311 | Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 38 | 28 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 31 | 28 | $0 |
Insurance plans in this area (ZIP 33952)
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Provider's Procedures
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