DR. JUAN GUILLERMO BASTIDAS (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1033301080

DR. JUAN GUILLERMO BASTIDAS (M.D.) is a healthcare provider. based in Ashland, Kentucky. specializing in THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD.201742 (LA). The NPI Number for DR. JUAN GUILLERMO BASTIDAS (M.D.) is 1033301080

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN GUILLERMO BASTIDAS (M.D.)
NPI
1033301080
Phone
(606) 408-6200
Address
PO BOX 2379
Enumeration Date
14 August 2007
Last Update Date
21 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3043997530
Graduation Year
1998 (28 years ago)
PAC ID
7315008950
Group Practice PAC ID
5890897151
Professional Enrollment ID
I20230828002526
Address ID
WV257021236HU2828XAVEX309
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:18State licenses:3Digital endpointsOther names

100 THORACIC SURGERY in KY

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Provider Addresses for DR. JUAN GUILLERMO BASTIDAS (M.D.)

  • PO BOX 2379

    ASHLAND, KY 411052379

    Phone: (606) 408-6200

    Fax: (606) 408-6612

    Type: Mailing

  • 210, 23rd Street, Geigers Crossing, Ashland, Boyd County, Kentucky, 41101, United States

    ASHLAND, KY 411012868

    Phone: (606) 326-9847

    Fax: (606) 324-3418

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,406.

Total Amount is formed as General ($1,406) + Research ($0) + Ownership ($0) = $1,406.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ATRICURE, INC. ($278).

Total Amount

$1,406

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180110002314IThoracic SurgeryOHTBD
I20230828002526IThoracic SurgeryWVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6453$0
33533Coronary artery bypass using artery graft, 1 graft1414$0
33508Harvest of vein using an endoscope1212$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 41105)

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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: 5890897151View full group profile
NameSpecialtyState
Nurse PractitionerWV
Nurse PractitionerWV
-WV
Family PracticeKY
Nurse PractitionerWV
-WV
Thoracic Surgery, Cardiac Surgery, General SurgeryWV
Physical Medicine And RehabilitationWV
Cardiovascular Disease (Cardiology)WV
Nurse PractitionerWV

Reviews

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Frequently asked questions

Where can patients find DR. JUAN GUILLERMO BASTIDAS (M.D.)'s NPI?
You can confirm DR. JUAN GUILLERMO BASTIDAS (M.D.) with NPI 1033301080; it appears in the national provider directory.
Is DR. JUAN GUILLERMO BASTIDAS (M.D.)'s NPI currently valid?
The extract we use shows DR. JUAN GUILLERMO BASTIDAS (M.D.) as active.
What kind of provider is DR. JUAN GUILLERMO BASTIDAS (M.D.)?
The page reflects Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for DR. JUAN GUILLERMO BASTIDAS (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JUAN GUILLERMO BASTIDAS (M.D.)?
The page summarizes Ashland, Kentucky for DR. JUAN GUILLERMO BASTIDAS (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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