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ANTONIO BACA M.D.
NPI 1043486236
Emergency Medicine in Woodbridge, VA

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
2300 OPITZ BLVD, WOODBRIDGE, VA 22191(216) 288-1596 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Antonio Baca M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO BACA M.D. (NPI 1043486236) is an individual emergency medicine provider in Woodbridge, Virginia, licensed in Virginia (0101250082) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence Horizon City Campus, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2008).

NPPES Registry Identity

NPI1043486236
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTONIO BACACredential: M.D.
Location Address2300 OPITZ BLVDWoodbridge, VA 22191-3311
Mailing Address5705 Fairfax DrArlington, VA 22205-2305 · (216) 288-1596
Phone(216) 288-1596
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2008
Enumeration DateMay 7, 2008
Last NPPES UpdateAugust 20, 2013
✔ NPI 1043486236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101250082
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2300 OPITZ BLVD, Woodbridge, VA 22191
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Baca M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870765134
PECOS Enrollment IDI20190503000151
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Antonio Baca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of Texas - Houston, PLLC
1,392 mi
Emergency Medicine
2601 DIMMITT RD
Plainview, TX 79072
  • Reassigned Medicare billing, Texas enrollment
  • 217 clinicians in this Medicare group
NPI 1760028740 (806) 296-5531
Pearsall Emergency Medicine Associates, PA
1,698 mi
Emergency Medicine
13600 HORIZON BLVD STE 100
Horizon City, TX 79928
  • Reassigned Medicare billing, Texas enrollment
  • 125 clinicians in this Medicare group
NPI 1104326263 (915) 407-7878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Hospitals Of Providence Horizon City Campus

Acute Care Hospitals · Horizon City, TX
OwnershipProprietary
CMS Certification Number670124
Location13600 Horizon Street, Suite 100Horizon City, TX 79928 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TRAVIS HOWELL EDELSTEIN D.O.
Radiology (Vascular & Interventional Radiology)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-0611
KATHRYN KEMP
Nurse Practitioner (Pediatrics, Critical Care)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (999) 999-9999
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Pharmacy (Community/Retail Pharmacy)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-1000
NORTHERN VIRGINIA ANESTHESIA ASSOC.
Anesthesiology
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 670-1357
BRENDAN L WATERS DO
Radiology (Diagnostic Radiology)
2300 OPITZ BLVD, DEPT OF RADIOLOGY
WOODBRIDGE, VA 22191
Prince William County (703) 607-1561
CASSANDRA J VAZQUEZ PA-C
Physician Assistant
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-1000
HELEN ALMARAZ
Specialist/Technologist, Other (Surgical Assistant)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-2343
SENTARA MEDICAL GROUP
Hospitalist
2300 OPITZ BLVD, STE G-209
WOODBRIDGE, VA 22191
Prince William County (703) 523-0611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Baca's NPI number?

The NPI number for Antonio Baca is 1043486236. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Antonio Baca located?

Antonio Baca practices at 2300 Opitz Blvd, Woodbridge, VA 22191. The listed phone number is (216) 288-1596.

What is Antonio Baca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Antonio Baca enrolled in Medicare?

Yes. Antonio Baca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Antonio Baca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Baca reassigns Medicare benefits to 2 organizations: Hospitalist Medicine Physicians Of Texas - Houston, PLLC (Plainview, TX) and Pearsall Emergency Medicine Associates, PA (Horizon City, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Baca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Baca accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Antonio Baca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Antonio Baca affiliated with any hospitals?

According to CMS data, Antonio Baca is affiliated with The Hospitals Of Providence Horizon City Campus.

When was this NPI record last updated?

The NPPES record for Antonio Baca was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.