Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BAO YANG PA-C
NPI 1154723500
Physician Assistant - Medical in Ponte Vedra Beach, FL

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
87.06/100
CMS Quality Rating
103 SOLANA RD STE B, PONTE VEDRA BEACH, FL 32082(904) 273-2717(904) 273-0410 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bao Yang Pa-c NPPES

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

BAO YANG PA-C (NPI 1154723500) is an individual medical provider in Ponte Vedra Beach, Florida, licensed in Florida (PA9113236) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154723500
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBAO YANGCredential: PA-C
Location Address103 SOLANA RD STE BPonte Vedra Beach, FL 32082-2231
Mailing Address103 Solana Rd Ste BPonte Vedra Beach, FL 32082-2231 · (904) 273-2717 · Fax (904) 273-0410
Fax(904) 273-0410
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 17, 2014
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1154723500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9113236
103 SOLANA RD STE B, Ponte Vedra Beach, FL 32082

Secondary Practice Locations 2

Location 1791 Amelia Island PkwyFernandina Beach, FL 32034-9126 · Phone (904) 261-7500 · Fax (904) 261-2166
Location 2614 E Twincourt TrlSaint Augustine, FL 32095-9090 · Phone (904) 808-7107 · Fax (904) 287-8885

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

Bao Yang Pa-c 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 ID941588461
PECOS Enrollment IDI20220902002048
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 21

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,797 services382 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.
936 services652 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
708 services487 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
515 services346 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
269 services226 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
235 services172 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

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.

87.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.78
Promoting Interoperability100
Improvement Activities40
Cost66.08

Other Providers at the Same Location NPPES 5

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

Physician Assistant
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
Physician Assistant (Medical)
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
Dermatology
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
Specialist
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
Nurse Practitioner
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082

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 Bao Yang's NPI number?

The NPI number for Bao Yang is 1154723500. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Bao Yang located?

Bao Yang practices at 103 Solana Rd Ste B, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 273-2717.

What is Bao Yang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bao Yang enrolled in Medicare?

Yes. Bao Yang 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.

Is Bao Yang affiliated with any hospitals?

According to CMS data, Bao Yang is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Bao Yang was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.