DR. DAVID C BASTACKY DMD
NPI 1164429387
Oral & Maxillofacial Surgery in Baltimore, MD

Active since July 01, 2005PECOS Enrolled
74.39/100
CMS Quality Rating
516 N ROLLING RD, SUITE 104, BALTIMORE, MD 21228(410) 744-4222(410) 744-2472 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David C Bastacky Dmd NPPES

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

DR. DAVID C BASTACKY DMD (NPI 1164429387) is an individual oral & maxillofacial surgery provider in Baltimore, Maryland, licensed in Maryland (10337) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164429387
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. DAVID C BASTACKYCredential: DMD
Location Address516 N ROLLING RD, SUITE 104Baltimore, MD 21228-4140
Mailing Address516 N Rolling Rd, Suite 104Baltimore, MD 21228-4140 · (410) 744-4222 · Fax (410) 744-2472
Fax(410) 744-2472
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
NPI 1164429387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in MD · 10337
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

516 N ROLLING RD, Baltimore, MD 21228

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David C Bastacky Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Nurse Practitioner (Psychiatric/Mental Health)
516 N ROLLING RD
CATONSVILLE, MD 21228
Internal Medicine (Hematology & Oncology)
516 N ROLLING RD, STE 301
CATONSVILLE, MD 21228
Social Worker
516 N ROLLING RD
CATONSVILLE, MD 21228
Nursing Care
516 N ROLLING RD, SUITE# 303
CATONSVILLE, MD 21228
Dentist (General Practice)
516 N ROLLING RD, STE 102
BALTIMORE, MD 21228
Dentist (General Practice)
516 N ROLLING RD, SUITE 202
CATONSVILLE, MD 21228
Internal Medicine (Hematology & Oncology)
516 N ROLLING RD, SUITE 301
CATONSVILLE, MD 21228
Nurse Practitioner (Adult Health)
516 N ROLLING RD, SUITE 107
CATONSVILLE, MD 21228

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 David Bastacky's NPI number?

The NPI number for David Bastacky is 1164429387. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is David Bastacky located?

David Bastacky practices at 516 N Rolling Rd Suite 104, Baltimore, MD 21228. The listed phone number is (410) 744-4222.

What is David Bastacky's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is David Bastacky enrolled in Medicare?

Yes. David Bastacky is registered in the Medicare PECOS enrollment system.

What insurance does David Bastacky accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list David Bastacky 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.

When was this NPI record last updated?

The NPPES record for David Bastacky was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.