ROGER BAUTISTA (D.O.) – Emergency Medicine Physician, NPI 1902888084
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,791 EMERGENCY MEDICINE in CA
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Provider Addresses for ROGER BAUTISTA (D.O.)
Cummins Drive, Modesto, Stanislaus County, California, 95350, United States
MODESTO, CA 953586411
Phone: (510) 851-7423
Type: Mailing
Adventist Health Hanford - Birth Center, 115, Mall Drive, Kings County Government Center, Hanford, Kings County, California, 93230, United States
HANFORD, CA 932305786
Phone: (559) 582-9000
Type: Location
9501 Farrell Rd
Fort Belvoir, VA 220605901
Phone: (703) 805-0599
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: 2024-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080929000501 | I | Emergency Medicine | CA | TBD |
| I20240312000084 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 155 | 144 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 91 | 89 | $0 |
| 99291 | Critical care, first 30-74 minutes | 36 | 36 | $0 |
| 71045 | X-ray of chest, 1 view | 34 | 32 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 30 | 30 | $0 |
Insurance plans in this area (ZIP 95358)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Family Practice, Emergency Medicine | NC | |
| Physician Assistant | OR | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | TN | |
| - | OR |
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