DR. CARL JOHN BASAMANIA M.D.
NPI 1295822930
Orthopaedic Surgery in Seattle, WA

Q: What is Carl Basamania's NPI number?

The NPI number for Carl Basamania is 1295822930. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Carl Basamania's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Basamania was last updated on January 14, 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 October 06, 2006PECOS EnrolledAccepts Medicare Assignment

601 BROADWAY, 6TH FLOOR, SEATTLE, WA 98122(206) 386-2600(206) 622-1644 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Carl John Basamania M.d. NPPES

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

DR. CARL JOHN BASAMANIA M.D. (NPI 1295822930) is an individual orthopaedic surgery provider in Seattle, Washington, licensed in Washington (00023310) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of George Washington University School Of Medicine (1984).

NPPES Registry Identity

NPI1295822930

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CARL JOHN BASAMANIACredential: M.D.

Location Address601 BROADWAY, 6TH FLOORSeattle, WA 98122-5330

Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100

Phone(206) 386-2600

Fax(206) 622-1644

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1984

Enumeration DateOctober 6, 2006

Last NPPES UpdateJanuary 14, 2016

✔ NPI 1295822930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WA · 00023310✔ Licensed in NC · 95-00304

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

601 BROADWAY, Seattle, WA 98122

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Other Identifiers 3

Medicare UPINF68101

Medicaid891156HNC

Medicare PIN22599871NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carl John Basamania 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 ID3577656479

PECOS Enrollment IDI20081112000466

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.

Medicare Billing Reassignments

Medicare enrollment records show Carl Basamania reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Opa Ortho PLLC

Same address

Orthopaedic Surgery

601 BROADWAY # 700
Seattle, WA 98122

Reassigned Medicare billing, Washington enrollment
29 clinicians in this Medicare group

NPI 1821787334 (206) 386-2600

Proliance Surgeons Inc., P.S.

Same address

Orthopaedic Surgery

601 BROADWAY FL 6
Seattle, WA 98122

Reassigned Medicare billing, Washington enrollment
589 clinicians in this Medicare group

NPI 1558300434 (206) 386-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.

308 services193 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

279 services169 patients

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.

73 services71 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.

71 services71 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

66 services64 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

58 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500072

Location939 Caroline StPort Angeles, WA 98362 · Clallam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

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.

PACIFIC MEDICAL, INC.

Prosthetic/Orthotic Supplier

601 BROADWAY, ROOM #140
SEATTLE, WA 98122

King County (206) 386-2040

DR. SEAN D TOOMEY M.D.

Orthopaedic Surgery