CARLOS BAUTISTA (MD) – Family Medicine Physician, NPI 1134417272
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for CARLOS BAUTISTA (MD)
777 N RAYMOND ST
BOISE, ID 837049251
Phone: (208) 514-2500
Fax: (208) 375-2217
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $489.
Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($153).
Total Amount
$489
General + Research + Ownership
Payments
10
Total payment records
General Amount
$489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aurinia Pharma U.S., Inc. | $153 |
| GlaxoSmithKline, LLC. | $125 |
| PFIZER INC. | $96 |
| Merck Sharp & Dohme LLC | $70 |
| Hologic Sales and Service, LLC | $24 |
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: 2015-03-26
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 |
|---|---|---|---|---|
| I20150326001526 | I | Family Practice | TX | 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 | 114 | 51 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 81 | 43 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 65 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 33 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 39 | 33 | $0 |
Insurance plans in this area (ZIP 83704)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | NV | |
| O P T O M E T R Y | NV | |
| - | CA | |
| O P T O M E T R Y | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | PA | |
| Nurse Practitioner | NV | |
| Internal Medicine, Geriatric Medicine | NV | |
| Physician Assistant | NV | |
| Registered Dietitian Or Nutrition Professional | NV |
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.