DR. FIDEL DALE MENDRES BAUTISTA (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1114112067
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for DR. FIDEL DALE MENDRES BAUTISTA (M.D.)
915 LAWN AVE
SELLERSVILLE, PA 189601551
Phone: (215) 257-3700
Type: Location
Coordinated Health, 2775, Schoenersville Road, Westgate Hills, Bethlehem, Northampton County, Pennsylvania, 18017, United States
BETHLEHEM, PA 180177307
Phone: (610) 861-8080
Fax: (610) 861-0854
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $668.
Total Amount is formed as General ($668) + Research ($0) + Ownership ($0) = $668.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: DJO, LLC ($520).
Total Amount
$668
General + Research + Ownership
Payments
9
Total payment records
General Amount
$668
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DJO, LLC | $520 |
| SI-BONE, INC. | $68 |
| DePuy Synthes Sales Inc. | $29 |
| Pacira Pharmaceuticals Incorporated | $19 |
| Orthofix Medical, Inc. | $17 |
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: 2009-01-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090114000636 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,018 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 279 | 198 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 213 | 110 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 91 | 91 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 77 | 16 | $0 |
Insurance plans in this area (ZIP 18960)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 45 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | MN | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery, Sports Medicine | PA | |
| Physical Therapist In Private Practice | MN | |
| P O D I A T R Y | DE | |
| - | MN | |
| Family Practice | PA | |
| - | PA | |
| Family Practice | MN |
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