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VINCE BAUTISTA ROSALES MD
NPI 1316905243
Family Medicine in Augusta, GA

Active since May 02, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D1010233 · Waiver
1242 AUGUSTA WEST PKWY, AUGUSTA, GA 30909(706) 860-5000(706) 860-6544 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vince Bautista Rosales Md NPPES

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

VINCE BAUTISTA ROSALES MD (NPI 1316905243) is an individual family medicine provider in Augusta, Georgia, licensed in Georgia (047256) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 9, 2027, and is affiliated with Doctors Hospital.

NPPES Registry Identity

NPI1316905243
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVINCE BAUTISTA ROSALESCredential: MD
Location Address1242 AUGUSTA WEST PKWYAugusta, GA 30909-1854
Mailing Address1242 Augusta West PkwyAugusta, GA 30909-1854 · (706) 860-5000 · Fax (706) 860-6544
Phone(706) 860-5000
Fax(706) 860-6544
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateMay 2, 2006
Last NPPES UpdateMarch 29, 2019
✔ NPI 1316905243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 047256
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.
1242 AUGUSTA WEST PKWY, Augusta, GA 30909
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Other Identifiers 1

Medicaid00830739BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Vince Bautista Rosales 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 ID7517993702
PECOS Enrollment IDI20050711000238
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1010233

Vince Rosales MD · Augusta, GA
Active · expires Mar 9, 2027
CLIA Number11D1010233
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorVince Rosales
Laboratory Phone(706) 860-5000
Laboratory LocationVince Rosales MD1242 Augusta West Parkway, Augusta, GA 30909
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
246 services98 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
127 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
79 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
33 services33 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
29 services27 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
13 suppliers50 claims107 services$5.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims24 services$0.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vince Rosales's NPI number?

The NPI number for Vince Rosales is 1316905243. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Vince Rosales located?

Vince Rosales practices at 1242 Augusta West Pkwy, Augusta, GA 30909. The listed phone number is (706) 860-5000.

What is Vince Rosales's specialty?

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

Is Vince Rosales enrolled in Medicare?

Yes. Vince Rosales 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.

Does Vince Rosales hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1010233) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vince Rosales accept?

Health plans from Molina Healthcare list Vince Rosales 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 Vince Rosales affiliated with any hospitals?

According to CMS data, Vince Rosales is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Vince Rosales was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.