DALLAS SCOTT BASHAM NP
NPI 1194758029
Nurse Practitioner in Crestview Hills, KY

Q: What is Dallas Basham's NPI number?

The NPI number for Dallas Basham is 1194758029. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Dallas Basham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dallas Basham was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 07, 2006PECOS Enrolled

90.38/100

CMS Quality Rating

350 THOMAS MORE PKWY, SUITE 160, CRESTVIEW HILLS, KY 41017(513) 221-1100(513) 569-5297 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2016, Mar 18, 2016, Feb 23, 2016 (3 updates tracked since 2016).

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About Dallas Scott Basham Np NPPES

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

DALLAS SCOTT BASHAM NP (NPI 1194758029) is an individual nurse practitioner in Crestview Hills, Kentucky, licensed in Kentucky (3003742) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194758029

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDALLAS SCOTT BASHAMCredential: NP

Location Address350 THOMAS MORE PKWY, SUITE 160Crestview Hills, KY 41017-5465

Mailing AddressPo Box 643398Cincinnati, OH 45264-3398 · (513) 221-1100 · Fax (513) 569-5297

Phone(513) 221-1100

Fax(513) 569-5297

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateMarch 21, 20163 updates tracked since enumeration

✔ NPI 1194758029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3003742✔ Licensed in OH · COA.06624-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.178465-1 (OH), 1097793 (KY)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License COA.06624-NP (OH), 3003742 (KY)

350 THOMAS MORE PKWY, Crestview Hills, KY 41017

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Other Identifiers 2

Medicaid2328734OH

Medicare UPINP42222OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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)

Dallas Scott Basham Np 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.

Areas of Expertise CMS Part B claims 3

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.

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.

143 services106 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

97 services97 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.

41 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

MENTAL HARMONY LLC

Counselor (Mental Health)

350 THOMAS MORE PKWY
CRESTVIEW HILLS, KY 41017

Kenton County (859) 240-3973

REBECCA BOGNER REBITSKI P.T.

Physical Therapist

350 THOMAS MORE PKWY, SUITE 130
CRESTVIEW HILLS, KY 41017

Kenton County (859) 344-6647

KARI VILLARREAL N.P.

Nurse Practitioner

350 THOMAS MORE PKWY, SUITE 280
CRESTVIEW HILLS, KY 41017

Kenton County (859) 426-0800

PHILIP L ZAACKS MD

Pain Medicine (Interventional Pain Medicine)

350 THOMAS MORE PKWY, SUITE 160
CRESTVIEW HILLS, KY 41017

Kenton County (513) 221-1100

REBECCA S CORNELIUS MD

Radiology (Diagnostic Radiology)

350 THOMAS MORE PKWY, SUITE 160
CRESTVIEW HILLS, KY 41017

Kenton County (513) 221-1100

COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC.

Internal Medicine (Cardiovascular Disease)

350 THOMAS MORE PKWY, SUITE 280
CRESTVIEW HILLS, KY 41017

Kenton County (859) 426-0888

DR. STUART ALLEN STEINBERG M.D.

Internal Medicine (Cardiovascular Disease)

350 THOMAS MORE PKWY, STE 280
CRESTVIEW HILLS, KY 41017

Kenton County (859) 426-0800

AMY STROUSE APRN

Nurse Practitioner (Family)

350 THOMAS MORE PKWY
CRESTVIEW HILLS, KY 41017

Kenton County (877) 448-3627

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 Dallas Basham's NPI number?

The NPI number for Dallas Basham is 1194758029. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Dallas Basham located?

Dallas Basham practices at 350 Thomas More Pkwy Suite 160, Crestview Hills, KY 41017. The listed phone number is (513) 221-1100.

What is Dallas Basham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dallas Basham enrolled in Medicare?

Yes. Dallas Basham is registered in the Medicare PECOS enrollment system.

What insurance does Dallas Basham accept?

Health plans from CareSource and MedMutual list Dallas Basham 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 Dallas Basham was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.