NATHAN DANIEL BASCOM (DO) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1477048288

NATHAN DANIEL BASCOM (DO) is a healthcare provider. based in San diego, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 20A17978 (CA). The NPI Number for NATHAN DANIEL BASCOM (DO) is 1477048288

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN DANIEL BASCOM (DO)
NPI
1477048288
Phone
(858) 554-7993
Address
10790 RANCHO BERNARDO RD
Enumeration Date
25 June 2018
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3036652603
Graduation Year
2018 (8 years ago)
PAC ID
8123487675
Group Practice PAC ID
2365714540
Professional Enrollment ID
I20240724003522
Address ID
CO800239328WE500XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

747 ORTHOPEDIC SURGERY in CO

Provider Addresses for NATHAN DANIEL BASCOM (DO)

  • 10790 RANCHO BERNARDO RD

    SAN DIEGO, CA 921275705

    Phone: (858) 554-7993

    Type: Mailing

  • 500 W 144TH AVE STE 230

    WESTMINSTER, CO 800239328

    Phone: (303) 665-2603

    Type: Location

  • Community Memorial Hospital, 147, North Brent Street, Ventura, Ventura County, California, 93003, United States

    VENTURA, CA 930032809

    Phone: (805) 652-5672

    Type: Mailing

  • 10710 N Torrey Pines Rd

    LA Jolla, CA 920371035

    Phone: (858) 554-7993

    Type: Location

  • 147 N Brent St

    Ventura, CA 930032809

    Phone: (805) 652-5672

    Type: Location

  • 8101 E Lowry Blvd Ste 120

    Denver, CO 802307195

    Phone: (720) 865-6072

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $5,037.

Total Amount is formed as General ($5,037) + Research ($0) + Ownership ($0) = $5,037.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Smith+Nephew, Inc. ($3,016).

Total Amount

$5,037

General + Research + Ownership

Payments

26

Total payment records

General Amount

$5,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

Latest reported date

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: 2024-07-24

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
I20240724003522IOrthopedic SurgeryCOTBD

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
27447Replacement of knee joint, both sides of knee3030$0
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
27130Replacement of thigh bone and hip joint with prosthesis2626$0
20985Computer-assisted surgery for muscle and bone procedure1918$0
View full utilization report →

Insurance plans in this area (ZIP 92127)

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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: 2365714540View full group profile
NameSpecialtyState
-CO
-VA
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeTX
Physician AssistantCO
Physician AssistantCO
Orthopedic SurgeryCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What federal number belongs to NATHAN DANIEL BASCOM (DO)?
The federal identifier for NATHAN DANIEL BASCOM (DO) is NPI 1477048288.
Is NATHAN DANIEL BASCOM (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize NATHAN DANIEL BASCOM (DO)'s specialty in plain language?
Clinically, the directory lists NATHAN DANIEL BASCOM (DO) with Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is NATHAN DANIEL BASCOM (DO)'s primary listing?
We display San Diego, California because that is what the record indicates for NATHAN DANIEL BASCOM (DO).
What if San Diego, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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