BRYAN DANIEL BAILLIS (M.D.) – Dermatology Physician, NPI 1699193508
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for BRYAN DANIEL BAILLIS (M.D.)
428 County Line Rd W
Westerville, OH 430827294
Phone: (614) 847-4100
Type: Location
300 Weatherstone Dr Ste 106
Wadsworth, OH 442817833
Phone: (330) 725-0569
Fax: (330) 662-0258
Type: Location
2865 Center Rd Ste 5
Brunswick, OH 442122324
Phone: (330) 725-0569
Fax: (330) 662-0258
Type: Location
128 E Milltown Rd Ste 208
Wooster, OH 446911276
Phone: (330) 725-0569
Fax: (330) 662-0258
Type: Location
5783 Wooster Pike
Medina, OH 442568816
Phone: (330) 725-0569
Fax: (330) 662-0258
Type: Location
5783 WOOSTER PIKE
MEDINA, OH 442568816
Phone:
Type: Mailing
5779 WOOSTER PIKE
MEDINA, OH 442568816
Phone: (330) 725-0569
Fax: (330) 662-0258
Type: Location
3535 Olentangy River Rd
Columbus, OH 432143908
Phone: (614) 566-1073
Fax: (614) 566-1073
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 $637.
Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($125).
Total Amount
$637
General + Research + Ownership
Payments
9
Total payment records
General Amount
$637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $125 |
| Incyte Corporation | $103 |
| UCB, Inc. | $102 |
| E.R. Squibb & Sons, L.L.C. | $92 |
| GENZYME CORPORATION | $91 |
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: 2018-08-14
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 |
|---|---|---|---|---|
| I20180814000323 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 750 | 583 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 501 | 411 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 320 | 241 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 174 | 166 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 167 | 138 | $0 |
Insurance plans in this area (ZIP 43082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| Orthopedic Surgery | OH | |
| D E R M A T O L O G Y | OH | |
| - | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH |
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