DOUGLAS BAASCH (MD,DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1629496161
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
96 ORAL SURGERY in FL
Provider Addresses for DOUGLAS BAASCH (MD,DDS)
655 W 8TH ST
JACKSONVILLE, FL 322096511
Phone: (802) 558-1654
Type: Mailing
19503 7TH AVE NE STE 100
POULSBO, WA 983707529
Phone: (360) 779-2339
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $3,268.
Total Amount is formed as General ($3,268) + Research ($0) + Ownership ($0) = $3,268.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ZIMVIE INC. ($2,150).
Total Amount
$3,268
General + Research + Ownership
Payments
29
Total payment records
General Amount
$3,268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $2,150 |
| Nobel Biocare USA | $544 |
| KLS-Martin L.P. | $291 |
| Straumann USA LLC | $283 |
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: 2021-12-16
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 |
|---|---|---|---|---|
| I20211216001266 | I | Oral Surgery | WA | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 32209)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery, Maxillofacial Surgery | WA | |
| - | WA | |
| Oral Surgery | WA |
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.