PHILLIP A BAUMAN MD
NPI 1114008059
Orthopaedic Surgery in New York, NY
NPI Status: Active since October 18, 2006
Contact Information
343 W 58TH ST
NEW YORK, NY
ZIP 10019
Phone: (212) 765-2260
Fax: (212) 977-3732
- Individual
- Male
- Orthopaedic Surgery
- PECOS Enrolled
- Opted-Out Medicare
About PHILLIP BAUMAN
This page provides the complete NPI Profile along with additional information for Phillip Bauman, a provider established in New York, New York with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1114008059 assigned on October 2006. The practitioner's primary taxonomy code is 207X00000X with license number 151377 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1114008059
- Provider Name
- PHILLIP A BAUMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 343 W 58TH ST NEW YORK, NY 10019
- Location Phone
- (212) 765-2260
- Location Fax
- (212) 977-3732
- Mailing Address
- 343 W 58TH ST NEW YORK, NY 10019
- Mailing Phone
- (212) 765-2260
- Mailing Fax
- (212) 977-3732
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2006
- Last Update Date
- 10-30-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Phillip Bauman opted out of Medicare effective on 03-21-2016 until 03-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 151377
- License State
- NY
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02E321 | MEDICARE PIN (08) | NY | |
| A96926 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Phillip Bauman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-21-2016
Opt-Out End Date: 03-21-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 10019 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $102.04
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $25.51
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $81.44
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $20.36
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 0 | 0 | 8 | 0 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 0 | 0 | 16 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 0 + 0 + 1 + 6 + 0 + 1 + 0 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1114008059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
DR. THOMAS MICHAEL NOVELLA DPM
Podiatrist
(Sports Medicine)
343 W 58TH ST
SUITE 11
NEW YORK, NY
ZIP 10019
DR. LLOYD GORDON SOMAN D.D.S.
Dentist
(Periodontics)
343 W 58TH ST
SUITE #8
NEW YORK, NY
ZIP 10019
FOOT & ANKLE MEDICAL CARE, PC
Podiatrist
(Foot Surgery)
343 W 58TH ST
SUITE 11
NEW YORK, NY
ZIP 10019
DR. SUSAN THYS-JACOBS M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
343 W 58TH ST
NEW YORK, NY
ZIP 10019
DR. MAIA NGUYEN BERGER DDS
Dentist
343 W 58TH ST
SUITE 5
NEW YORK, NY
ZIP 10019
ORTHOPAEDIC ASSOCIATES OF NEW YORK, PC
Orthopaedic Surgery
343 W 58TH ST
NEW YORK, NY
ZIP 10019
FOOT & ANKLE MEDICAL CARE PC
Podiatrist
(Foot & Ankle Surgery)
343 W 58TH ST
SUITE 11
NEW YORK, NY
ZIP 10019
WILLIAM G HAMILTON MD PLLC
Orthopaedic Surgery
343 W 58TH ST
NEW YORK, NY
ZIP 10019
PHILLIP A BAUMAN, MD, PLLC
Orthopaedic Surgery
(Sports Medicine)
343 W 58TH ST
NEW YORK, NY
ZIP 10019
COLUMBUS CIRCLE ORTHOPAEDICS PLLC
Orthopaedic Surgery
(Sports Medicine)
343 W 58TH ST
SUITE 7
NEW YORK, NY
ZIP 10019
DR. GEORGE JOSEPH ZAMBETTI JR. M.D.
Orthopaedic Surgery
343 W 58TH ST
SUITE # 7
NEW YORK, NY
ZIP 10019
NEW YORK CITY SPINE SURGERY PLLC
Orthopaedic Surgery
(Orthopaedic Surgery of the Spine)
343 W 58TH ST
NEW YORK, NY
ZIP 10019
DAVEED D FRAZIER MD
Orthopaedic Surgery
(Orthopaedic Surgery of the Spine)
343 W 58TH ST
NEW YORK, NY
ZIP 10019
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114008059, enumerated in the NPI registry as an "individual" on October 18, 2006
The provider is located at 343 W 58th St New York, Ny 10019 and the phone number is (212) 765-2260
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $102.04 with an average copayment of $25.51 for new patient appointments. Established patients should expect a typical charge of $81.44 and an average copayment of 20.36. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on March 21, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 21, 2026.
This NPI record was last updated on October 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
