DR. TINA PICKETT BAISDEN (MD) – Dermatology Physician, NPI 1396753810
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TINA PICKETT BAISDEN (MD)
16510 19 MILE RD
CLINTON TOWNSHIP, MI 480381106
Phone: (586) 263-7200
Fax: (586) 286-8007
Type: Mailing
16510 19 Mile Rd
Clinton Township, MI 480381106
Phone: (586) 263-7200
Fax: (586) 286-8007
Type: Location
400 MACK AVE
DETROIT, MI 482012136
Phone:
Type: Mailing
3990 JOHN R ST
DETROIT, MI 482012018
Phone: (313) 577-5980
Type: Location
Dukes Liquor Box, 114, Franklin Street, Greenpoint, Brooklyn, Kings County, New York, 11222, United States
FRANKLIN, MI 48025
Phone: (248) 433-3803
Fax: (248) 433-3452
Type: Mailing
31500, Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48025, United States
SUITE 130
BINGHAM FARMS, MI 48025
Phone: (248) 433-3803
Fax: (248) 433-3452
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $340.
Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($141).
Total Amount
$340
General + Research + Ownership
Payments
9
Total payment records
General Amount
$340
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061006000016 | I | Dermatology | MI | 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 |
|---|---|---|---|---|
| 17000 | Destruction of precancer skin growth, 1 growth | 20 | 20 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 17 | 17 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 14 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | NC | |
| Physician Assistant | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI |
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