MANUEL M BAUTISTA MD
NPI 1093793689
Internal Medicine - Pulmonary Disease in Boardman, OH

Q: What is Manuel Bautista's NPI number?

The NPI number for Manuel Bautista is 1093793689. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Manuel Bautista's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Bautista was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

86.09/100

CMS Quality Rating

960 WINDHAM CT, SUITE 1, BOARDMAN, OH 44512(330) 726-3357(330) 726-1465 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Jul 1, 2020 (2 updates tracked since 2020).

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About Manuel M Bautista Md NPPES

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

MANUEL M BAUTISTA MD (NPI 1093793689) is an individual pulmonary disease provider in Boardman, Ohio, licensed in Ohio (35089622) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1093793689

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMANUEL M BAUTISTACredential: MD

Location Address960 WINDHAM CT, SUITE 1Boardman, OH 44512-5087

Mailing Address960 Windham Ct Ste 1Boardman, OH 44512-5087 · (330) 726-3357 · Fax (330) 726-1465

Phone(330) 726-3357

Fax(330) 726-1465

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJanuary 4, 2006

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1093793689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35089622

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35089622 (OH)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35089622 (OH)

960 WINDHAM CT, Boardman, OH 44512

Open in Google Maps ↗

Secondary Practice Location 1

Location 11421 E Market StWarren, OH 44483-6609 · Phone (330) 726-3357 · Fax (330) 726-1465

Other Identifiers 1

Medicaid2475585OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manuel M Bautista Md 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 ID3173500642

PECOS Enrollment IDI20040702000076, I20070814000181

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.

Areas of Expertise CMS Part B claims 18

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

271 services120 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

175 services118 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

149 services74 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

111 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

72 services62 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

71 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services63 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

52 services52 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

35 services35 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

34 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services31 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

28 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

22 services21 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

21 services20 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

17 services16 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services13 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360161

Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County

Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number360352

Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Sharon Regional Health System

Acute Care Hospitals · Sharon, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390211

Location740 East State StreetSharon, PA 16146 · Mercer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.42

Promoting Interoperability

Improvement Activities

Cost

80.04

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers69 claims70 services$70.48 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers52 claims150 services$25.64 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers34 claims169 services$13.52 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers22 claims125 services$12.61 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers62 claims62 services$43.82 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers81 claims81 services$14.05 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

12 suppliers117 claims118 services$10.21 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers123 claims632 services$1.68 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

8 suppliers29 claims29 services$4.80 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers58 claims58 services$10.39 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers126 claims133 services$13.67 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers42 claims42 services$910.07 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers28 claims28 services$66.72 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers11 claims18 services$10.55 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$8.37 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers60 claims67 services$27.94 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers228 claims237 services$64.11 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers69 claims71 services$29.55 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims840 services$3.76 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers18 claims1,560 services$6.51 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers32 claims2,310 services$0.73 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers28 claims149,625 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers19 claims19 services$30.82 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

9 suppliers42 claims42 services$25.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

DERMATOLOGY CENTRE OF NORTHEAST OHIO, LLC

Specialist

960 WINDHAM CT, SUITE 2
YOUNGSTOWN, OH 44512

Mahoning County (330) 758-8866

DR. LAWRENCE S GOLDSTEIN MD

Internal Medicine (Pulmonary Disease)

960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512

Mahoning County (330) 726-3357

EASTERN OHIO PULMONARY CONSULTANTS INC

Internal Medicine (Critical Care Medicine)

960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512

Mahoning County (330) 726-3357

ASHLEY MARIE CHEUNG CNP

Nurse Practitioner (Family)

960 WINDHAM CT
YOUNGSTOWN, OH 44512

Mahoning County (330) 726-3357

ANTHONY L MEHLE M.D.

Dermatology

960 WINDHAM CT, STE 2
YOUNGSTOWN, OH 44512

Mahoning County (330) 758-8866

RITHA KARTAN MD

Internal Medicine (Pulmonary Disease)

960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512

Mahoning County (330) 726-3357

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 Manuel Bautista's NPI number?

The NPI number for Manuel Bautista is 1093793689. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Manuel Bautista located?

Manuel Bautista practices at 960 Windham Ct Suite 1, Boardman, OH 44512. The listed phone number is (330) 726-3357.

What is Manuel Bautista's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Manuel Bautista enrolled in Medicare?

Yes. Manuel Bautista 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.

What insurance does Manuel Bautista accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Manuel Bautista 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 Manuel Bautista affiliated with any hospitals?

According to CMS data, Manuel Bautista is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Hmhp St Elizabeth Boardman Health Center, Surgical Hospital At Southwoods and Sharon Regional Health System.

When was this NPI record last updated?

The NPPES record for Manuel Bautista was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.