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MR. MARK A BASHAM MD
NPI 1255326443
Family Medicine in Eureka, KS

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
110 E 16TH ST, EUREKA, KS 67045(620) 583-7451(620) 583-6702 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark A Basham Md NPPES

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

MR. MARK A BASHAM MD (NPI 1255326443) is an individual family medicine provider in Eureka, Kansas, licensed in Kansas (0428069) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Susan B Allen Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (1997).

NPPES Registry Identity

NPI1255326443
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MARK A BASHAMCredential: MD
Location Address110 E 16TH STEureka, KS 67045-1067
Mailing Address110 E 16th StEureka, KS 67045-1067 · (620) 583-7451 · Fax (620) 583-6702
Phone(620) 583-7451
Fax(620) 583-6702
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1997
Enumeration DateSeptember 14, 2005
Last NPPES UpdateNovember 29, 2023
✔ NPI 1255326443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 0428069
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.

110 E 16TH ST, Eureka, KS 67045
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Other Identifiers 4

Medicaid100362190BKS
Other100428860AGroup Medicaid
Other178960Rural Health Medicare
Other640311F. Guard

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Mr. Mark A Basham Md 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 ID1658327861
PECOS Enrollment IDI20061219000067
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 2

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
29 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Susan B Allen Memorial Hospital

Acute Care Hospitals · El Dorado, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170017
Location720 W Central StEl Dorado, KS 67042 · Butler County
Emergency services Birthing friendly

Greenwood County Hospital

Critical Access Hospitals · Eureka, KS
OwnershipGovernment - Local
CMS Certification Number171339
Location100 W 16th StreetEureka, KS 67045 · Greenwood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67045 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

Breast Cancer Screening
51%258 patients3/55-star benchmark: 93%
Cervical Cancer Screening
11%286 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
29%554 patients2/55-star benchmark: 88%
Diabetes: Eye Exam
13%161 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%161 patients4/55-star benchmark: 91%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%1,531 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
65%327 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

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 suppliers24 claims77 services$6.11 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$22.76 avg. paid by Medicare
Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims130 services$4.60 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier15 claims180 services$1.99 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$4.43 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$8.59 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 2

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

MRS. NANCY J MCKENZIE PA
Physician Assistant
110 E 16TH ST
EUREKA, KS 67045
Greenwood County (620) 583-7451
GREENWOOD COUNTY HOSPITAL
Family Medicine
110 E 16TH ST
EUREKA, KS 67045
Greenwood County (620) 583-7451

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 Mark Basham's NPI number?

The NPI number for Mark Basham is 1255326443. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Mark Basham located?

Mark Basham practices at 110 E 16th St, Eureka, KS 67045. The listed phone number is (620) 583-7451.

What is Mark Basham's specialty?

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

Is Mark Basham enrolled in Medicare?

Yes. Mark Basham 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 Mark Basham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mark 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.

Is Mark Basham affiliated with any hospitals?

According to CMS data, Mark Basham is affiliated with Susan B Allen Memorial Hospital and Greenwood County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Basham was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.