AGNES C BACALA M.D.
NPI 1205891744
Family Medicine in Loogootee, IN

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
91.61/100
CMS Quality Rating
12546 E US HIGHWAY 50, LOOGOOTEE, IN 47553(812) 295-5095(812) 295-9403 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2020, Feb 24, 2016 (2 updates tracked since 2016).

About Agnes C Bacala M.d. NPPES

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

AGNES C BACALA M.D. (NPI 1205891744) is an individual family medicine provider in Loogootee, Indiana, licensed in Indiana (01043434A) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1205891744
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAGNES C BACALACredential: M.D.
Location Address12546 E US HIGHWAY 50Loogootee, IN 47553-5220
Mailing AddressPo Box 760Washington, IN 47501-0760 · (812) 254-2760 · Fax (812) 254-8636
Fax(812) 295-9403
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 18, 2006
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
NPI 1205891744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01043434A Licensed in KY · 32413
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12546 E US HIGHWAY 50, Loogootee, IN 47553

Other Identifiers 4

Medicaid64130602KY
Medicaid200072110IN
OtherP00711471KY · Railroad Medicare - Ky
OtherP00298628IN · Railroad Medicare

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

Agnes C Bacala 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 ID7517971419
PECOS Enrollment IDI20060131000220
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.

Hospital Affiliations CMS Care Compare

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47553 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.95
Promoting Interoperability99
Improvement Activities40
Cost51.57

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims46 services$5.74 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims62 services$1.49 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
12546 E US HIGHWAY 50
LOOGOOTEE, IN 47553

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 Agnes Bacala's NPI number?

The NPI number for Agnes Bacala is 1205891744. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Agnes Bacala located?

Agnes Bacala practices at 12546 E Us Highway 50, Loogootee, IN 47553. The listed phone number is (812) 295-5095.

What is Agnes Bacala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Agnes Bacala enrolled in Medicare?

Yes. Agnes Bacala 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 Agnes Bacala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Agnes Bacala 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 Agnes Bacala affiliated with any hospitals?

According to CMS data, Agnes Bacala is affiliated with Clark Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Agnes Bacala was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.