LEONEL P WELCH BASULTO (MD) – Family Medicine Physician, NPI 1316970262
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Loading map...
Provider Addresses for LEONEL P WELCH BASULTO (MD)
3269 HIGHWAY 90 EAST
BONIFAY, FL 324256001
Phone: (850) 547-9991
Fax: (850) 547-9992
Type: Mailing
Highway 173, Bonifay, Holmes County, Florida, 32425, United States
BONIFAY, FL 324256001
Phone: (850) 547-9991
Fax: (850) 547-9992
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($118).
Total Amount
$118
General + Research + Ownership
Payments
1
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $118 |
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: 2004-01-28
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 |
|---|---|---|---|---|
| I20040128001026 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 476 | 167 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 195 | 78 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 152 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 54 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 32425)
Loading plans...
Provider's Procedures
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.