LEONEL P WELCH BASULTO MD
NPI 1316970262
Family Medicine in Bonifay, FL

Q: What is Leonel Welch Basulto's NPI number?

The NPI number for Leonel Welch Basulto is 1316970262. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Leonel Welch Basulto's specialty?

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

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3269 HIGHWAY 90, BONIFAY, FL 32425(850) 547-9991(850) 547-9992 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Leonel P Welch Basulto Md NPPES

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

LEONEL P WELCH BASULTO MD (NPI 1316970262) is an individual family medicine provider in Bonifay, Florida, licensed in Florida (201859686) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1316970262

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLEONEL P WELCH BASULTOCredential: MD

Location Address3269 HIGHWAY 90Bonifay, FL 32425-6001

Mailing Address3269 Highway 90 EastBonifay, FL 32425-6001 · (850) 547-9991 · Fax (850) 547-9992

Phone(850) 547-9991

Fax(850) 547-9992

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 7, 2006

Last NPPES UpdateAugust 27, 2015

✔ NPI 1316970262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · 201859686

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.

3269 HIGHWAY 90, Bonifay, FL 32425

Open in Google Maps ↗

Other Identifiers 3

Other201859686FL · Provider Number

Medicaid266925100FL

Medicare UPINH89448FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Leonel P Welch Basulto 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 ID3375446255

PECOS Enrollment IDI20040128001026

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 5

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.

335 services145 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

214 services73 patients

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.

138 services79 patients

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.

134 services37 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Doctors Memorial Hospital

Critical Access Hospitals · Bonifay, FL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number101307

Location2600 Hospital DrBonifay, FL 32425 · Holmes County

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101308

Location1360 Brickyard RdChipley, FL 32428 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32425 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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

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

2 suppliers12 claims12 services$92.17 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 5

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

JIMMY RAFAEL CARRILLO PA-C

Physician Assistant (Medical)