DR. JESSICA MARIE BASHAM M.D.
NPI 1164764890
Obstetrics & Gynecology in South Bend, IN

Q: What is Jessica Basham's NPI number?

The NPI number for Jessica Basham is 1164764890. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Jessica Basham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Basham was last updated on January 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment

515 N LAFAYETTE BLVD, SOUTH BEND, IN 46601(574) 232-2037(574) 232-1470 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jessica Marie Basham M.d. NPPES

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

DR. JESSICA MARIE BASHAM M.D. (NPI 1164764890) is an individual obstetrics & gynecology provider in South Bend, Indiana, licensed in Indiana (01078045A) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1164764890

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. JESSICA MARIE BASHAMCredential: M.D.

Location Address515 N LAFAYETTE BLVDSouth Bend, IN 46601-1003

Mailing Address6301 University Commons Ste 230South Bend, IN 46635-1590 · (574) 251-2100 · Fax (574) 251-2150

Phone(574) 232-2037

Fax(574) 232-1470

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2013

Enumeration DateMarch 20, 2013

Last NPPES UpdateJanuary 10, 2018

✔ NPI 1164764890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01078045A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

515 N LAFAYETTE BLVD, South Bend, IN 46601

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Secondary Practice Location 1

Location 13000 Arlington Ave, Graduate Medical Education, MS 1050Toledo, OH 43614-2595 · Phone (419) 383-4244 · Fax (419) 383-3108

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

Dr. Jessica Marie Basham 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 ID6608170717

PECOS Enrollment IDI20170519000667

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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

42 services42 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.

36 services26 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.

22 services16 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150012

Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County

Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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. RAJENDRA VITO SHAH M.D.

Obstetrics & Gynecology