Bare Dermatology – Dermatology Physician, NPI 1053029348
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Bare Dermatology
12850 Dallas Pkwy Ste 300
Frisco, TX 750330844
Phone: (469) 214-5202
Type: Location
834 W Highway 82 Ste 102
Gainesville, TX 762402533
Phone: (940) 294-7302
Fax: (972) 330-8808
Type: Location
3041 Washington Drive
Suite 400
Melissa, TX 75454
Phone: (469) 581-0599
Fax: (469) 581-0598
Type: Location
977 Raintree Cir Ste 120
Allen, TX 750135024
Phone: (972) 430-8220
Fax: (972) 330-8808
Type: Location
1005 W Ralph Hall Pkwy Ste 207
Rockwall, TX 750326662
Phone: (972) 483-9228
Fax: (972) 330-8808
Type: Location
27045 E University Dr Ste 1A
Aubrey, TX 762272746
Phone: (972) 767-4944
Type: Location
1200 Crawford Ave Ste D
Granbury, TX 760484562
Phone: (972) 483-9228
Type: Location
9201 N Central Expy Ste 120
Dallas, TX 752316001
Phone: (214) 286-6489
Type: Location
1005 W RALPH HALL PKWY STE 207
ROCKWALL, TX 750326662
Phone: (972) 483-9228
Fax: (972) 433-6128
Type: Mailing
2110 RESEARCH ROW STE 310
DALLAS, TX 752352534
Phone: (972) 797-9297
Fax: (972) 330-8808
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-01-05
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 |
|---|---|---|---|---|
| O20230105001326 | O | Clinic/Group Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75033)
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Reviews
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