AGNES C BACALA (M.D.) – Family Medicine Physician, NPI 1205891744
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
Provider Addresses for AGNES C BACALA (M.D.)
12546 E US HIGHWAY 50
LOOGOOTEE, IN 475535220
Phone: (812) 295-5095
Fax: (812) 295-9403
Type: Location
Java Lounge, 760, Northwest Dale Avenue, Cedar Mill, Portland, Metro, Washington County, Oregon, 97229, United States
WASHINGTON, IN 475010760
Phone: (812) 254-2760
Fax: (812) 254-8636
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 111 Open Payments records for all available years, with a total value of $3,004.
Total Amount is formed as General ($3,004) + Research ($0) + Ownership ($0) = $3,004.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($339).
Total Amount
$3,004
General + Research + Ownership
Payments
111
Total payment records
General Amount
$3,004
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $339 |
| Phathom Pharmaceuticals, Inc. | $331 |
| Vanda Pharmaceuticals Inc. | $321 |
| AstraZeneca Pharmaceuticals LP | $265 |
| IDORSIA PHARMACEUTICALS US INC | $195 |
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: 2006-01-31
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 |
|---|---|---|---|---|
| I20060131000220 | I | Family Practice | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47553)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | IN | |
| Nurse Practitioner | IN | |
| Geriatric Medicine, Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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