PEDRO A BAUZA-FELICIANO (MD) – Psychiatry Physician, NPI 1104135128
Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
541 PSYCHIATRY in TN
Provider Addresses for PEDRO A BAUZA-FELICIANO (MD)
130 W Ravine Rd
Kingsport, TN 376603837
Phone: (423) 224-4000
Type: Location
700 ACKERMAN RD
STE 570
COLUMBUS, OH 432021579
Phone: (614) 293-2594
Fax: (614) 293-4487
Type: Mailing
22101 MOROSS RD
DETROIT, MI 482362148
Phone: (313) 343-4000
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 302-6565
Type: Mailing
2000 BROOKSIDE DR
KINGSPORT, TN 376604627
Phone: (423) 857-7000
Type: Location
1990 Holton Ave E
Big Stone Gap, VA 242193350
Phone: (276) 523-3111
Type: Location
300 Med Tech Pkwy
Johnson City, TN 376042277
Phone: (423) 302-1000
Type: Location
2017 Jefferson St SW
Roanoke, VA 240142419
Phone: (540) 981-8025
Fax: (540) 853-0511
Type: Location
22101 Moross Rd
Detroit, MI 482362148
Phone: (313) 343-4000
Type: Location
1210 W Saginaw St
Lansing, MI 489151927
Phone: (517) 362-7700
Type: Location
11600 W 2nd Pl
Lakewood, CO 802281527
Phone: (720) 321-0000
Fax: (720) 321-4165
Type: Location
1519 Main St
Sneedville, TN 378693657
Phone: (423) 733-5000
Type: Location
1420 Tusculum Blvd
Greeneville, TN 377454279
Phone: (423) 787-5000
Type: Location
1501 W Elk Ave
Elizabethton, TN 376432874
Phone: (423) 542-1300
Type: Location
2030 Temple Hill Rd
Erwin, TN 376508721
Phone: (423) 743-3141
Type: Location
312 Hospital Dr
Clintwood, VA 242286786
Phone: (276) 926-0300
Type: Location
58 Carroll Street
Lebanon, VA 242664510
Phone: (276) 883-8000
Type: Location
245 Medical Park Dr
Marion, VA 243541100
Phone: (276) 378-1000
Type: Location
16000 Johnston Memorial Dr
Abingdon, VA 242117664
Phone: (276) 258-1000
Type: Location
851 Locust St
Rogersville, TN 378572407
Phone: (423) 921-7000
Type: Location
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
1901 S Shady St
Mountain City, TN 376832021
Phone: (423) 727-1100
Type: Location
1215 E Michigan Ave
Lansing, MI 489121811
Phone: (517) 364-7700
Type: Location
400 N State Of Franklin Rd
Johnson City, TN 376046035
Phone: (423) 431-6111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20140814000870 | I | Psychiatry | PA | TBD |
| I20140819002406 | I | Psychiatry | MI | TBD |
| I20220830002626 | I | Psychiatry | MN | TBD |
| I20220901003509 | I | Psychiatry | OR | TBD |
| I20220901003546 | I | Psychiatry | WA | TBD |
| I20220914001092 | I | Psychiatry | MO | TBD |
| I20230316000378 | I | Psychiatry | WI | TBD |
| I20240403003622 | I | Psychiatry | TN | TBD |
| I20240405000803 | I | Psychiatry | VA | TBD |
| I20240507002490 | I | Psychiatry | NC | TBD |
| I20241108001698 | I | Psychiatry | CO | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 45 | 36 | $0 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 35 | 35 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 37660)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MI | 90792 | Psychiatric diagnostic evaluation with medical services | 82 | 82 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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