JOEL O BAUTISTA (MD) – Surgery Physician, NPI 1700878253

JOEL O BAUTISTA (MD) is a healthcare provider. based in Deland, Florida. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. ME 102468 (FL). The NPI Number for JOEL O BAUTISTA (MD) is 1700878253

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOEL O BAUTISTA (MD)
NPI
1700878253
Phone
(386) 943-7175
Address
151 VICTORIA COMMONS BLVD
Enumeration Date
19 August 2005
Last Update Date
6 October 2010

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3522658990
Graduation Year
1988 (38 years ago)
PAC ID
4587724968
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20081114000305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOEL O BAUTISTA (MD)

  • 151, Victoria Commons Boulevard, DeLand, Volusia County, Florida, 32724, United States

    SUITE 105

    DELAND, FL 327247700

    Phone: (386) 943-7175

    Fax: (386) 734-8825

    Mailing address matches the actual address.

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: 2008-11-14

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
I20081114000305IGeneral SurgeryFLTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 32724)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

How do payers reference JOEL O BAUTISTA (MD)?
For JOEL O BAUTISTA (MD), use NPI 1700878253 as the unique 10-digit identifier.
Is there an active status for JOEL O BAUTISTA (MD)?
For scheduling context, JOEL O BAUTISTA (MD) is shown as active in the registry.
What area of care is associated with JOEL O BAUTISTA (MD)?
JOEL O BAUTISTA (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOEL O BAUTISTA (MD)?
Travel planning: use Deland, Florida as the reference point for JOEL O BAUTISTA (MD), then confirm.
Does JOEL O BAUTISTA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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