DIRK BRADLEY BAHORAVITCH MSN, CRNA
NPI 1184083826
Nurse Anesthetist, Certified Registered in Provo, UT

Active since February 22, 2016Accepts Medicare Assignment
80.06/100
CMS Quality Rating

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2021, Jun 22, 2016, Feb 22, 2016 (3 updates tracked since 2016).

About Dirk Bradley Bahoravitch Msn, Crna NPPES

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

DIRK BRADLEY BAHORAVITCH MSN, CRNA (NPI 1184083826) is an individual nurse anesthetist, certified registered in Provo, Utah, licensed in Idaho (53485) and active in the NPI registry since February 2016. He is affiliated with Lovelace Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184083826
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDIRK BRADLEY BAHORAVITCHCredential: MSN, CRNA
Location Address1067 N 500 WProvo, UT 84604-3305
Mailing Address264 N 1020 EAmerican Fork, UT 84003-2957 · (801) 592-5424
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 22, 2016
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1184083826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in ID · 53485
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1067 N 500 W, Provo, UT 84604

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 and accepts Medicare assignment

Dirk Bradley Bahoravitch Msn, Crna 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 ID941595441
PECOS Enrollment IDI20190917003288

Hospital Affiliations CMS Care Compare

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Ambulatory Surgical)
1067 N 500 W
PROVO, UT 84604
Physical Therapist
1067 N 500 W
PROVO, UT 84604
Anesthesiology
1067 N 500 W
PROVO, UT 84604
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Anesthesiology
1067 N 500 W
PROVO, UT 84604
Nurse Anesthetist, Certified Registered
1067 N 500 W
PROVO, UT 84604
Anesthesiology
1067 N 500 W
PROVO, UT 84604

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 Dirk Bahoravitch's NPI number?

The NPI number for Dirk Bahoravitch is 1184083826. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Dirk Bahoravitch located?

Dirk Bahoravitch practices at 1067 N 500 W, Provo, UT 84604. The listed phone number is (801) 374-0354.

What is Dirk Bahoravitch's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dirk Bahoravitch enrolled in Medicare?

Yes. Dirk Bahoravitch 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 Dirk Bahoravitch accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Medica list Dirk Bahoravitch 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 Dirk Bahoravitch affiliated with any hospitals?

According to CMS data, Dirk Bahoravitch is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Dirk Bahoravitch was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.