DR. JOHN A BASTULLI (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1104811264
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,268 ANESTHESIOLOGY in OH
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Provider Addresses for DR. JOHN A BASTULLI (M.D.)
10515, Carnegie Avenue, Fairfax, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 441063016
Phone: (216) 928-0136
Fax: (216) 928-0141
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)
CMS reports 3 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($43).
Total Amount
$61
General + Research + Ownership
Payments
3
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $43 |
| Rayner Intraocular Lenses Limited | $18 |
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: 2010-11-12
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 |
|---|---|---|---|---|
| I20101112000841 | I | Anesthesiology | OH | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 152 | 124 | $0 |
| 00145 | Anesthesia for retinal surgery | 13 | 13 | $0 |
Insurance plans in this area (ZIP 44106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | OH | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 27 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Anesthesiology Assistant | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | WV | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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