NICOLE T. BAVUSO MD
NPI 1255667184
Obstetrics & Gynecology in Philadelphia, PA

Active since October 28, 2009PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
301 S 8TH ST, DUNCAN BUILDING, SUITE 3D, PHILADELPHIA, PA 19106(215) 829-6797 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole T. Bavuso Md NPPES

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

NICOLE T. BAVUSO MD (NPI 1255667184) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD449423) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255667184
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE T. BAVUSOCredential: MD
Location Address301 S 8TH ST, DUNCAN BUILDING, SUITE 3DPhiladelphia, PA 19106-4000
Mailing Address301 S 8th St, Duncan Building, Suite 3dPhiladelphia, PA 19106-4000 · (215) 829-6797
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 28, 2009
Last NPPES UpdateJuly 15, 2013
NPI 1255667184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD449423
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.
301 S 8TH ST, Philadelphia, PA 19106

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

Nicole T. Bavuso 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 ID547403032
PECOS Enrollment IDI20130903000164
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.

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
301 S 8TH ST, THE GARFIELD DUNCAN BUILDING, SUITE 2C
PHILADELPHIA, PA 19106
Surgery
301 S 8TH ST, SUITE 4A
PHILADELPHIA, PA 19106
Nurse Anesthetist, Certified Registered
301 S 8TH ST
PHILADELPHIA, PA 19106
Prosthetic/Orthotic Supplier
301 S 8TH ST, STE B2
PHILADELPHIA, PA 19106
Internal Medicine (Cardiovascular Disease)
301 S 8TH ST, DUNCAN BLDG. SUITE 2B
PHILADELPHIA, PA 19106
Psychiatry & Neurology (Psychiatry)
301 S 8TH ST, SUITE 2J
PHILADELPHIA, PA 19106
Registered Nurse (Registered Nurse First Assistant)
301 S 8TH ST
PHILADELPHIA, PA 19106
Nurse Practitioner (Acute Care)
301 S 8TH ST, SUITE 4A
PHILADELPHIA, PA 19106

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 Nicole Bavuso's NPI number?

The NPI number for Nicole Bavuso is 1255667184. It was assigned to this individual provider in the NPPES registry on October 28, 2009.

Where is Nicole Bavuso located?

Nicole Bavuso practices at 301 S 8th St Duncan Building, Suite 3D, Philadelphia, PA 19106. The listed phone number is (215) 829-6797.

What is Nicole Bavuso's specialty?

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

Is Nicole Bavuso enrolled in Medicare?

Yes. Nicole Bavuso 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 Nicole Bavuso accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicole Bavuso 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 Nicole Bavuso affiliated with any hospitals?

According to CMS data, Nicole Bavuso is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Bavuso was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.