BENJAMIN GENESIS M BAUTISTA II MD
NPI 1396051561
Emergency Medicine in Oshkosh, WI

Q: What is Benjamin Genesis Bautista's NPI number?

The NPI number for Benjamin Genesis Bautista is 1396051561. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Q: What is Benjamin Genesis Bautista's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since August 26, 2010PECOS EnrolledAccepts Medicare Assignment

82.77/100

CMS Quality Rating

855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 456-7400 Get Directions Write a Review

NPPES record last updated: July 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benjamin Genesis M Bautista Ii Md NPPES

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

BENJAMIN GENESIS M BAUTISTA II MD (NPI 1396051561) is an individual emergency medicine provider in Oshkosh, Wisconsin, licensed in Illinois (036130758) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396051561

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameBENJAMIN GENESIS M BAUTISTA IICredential: MD

Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668

Mailing Address2100 S. Marshall Blvd., Apt 805Chicago, IL 60623 · (920) 750-3060 · Fax (773) 521-0570

Phone(920) 456-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 26, 2010

Last NPPES UpdateJuly 10, 2017

✔ NPI 1396051561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036130758✔ Licensed in WI · 54794

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

855 N WESTHAVEN DR, Oshkosh, WI 54904

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Other Identifiers 1

Other036130758IL · Il State License

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

Benjamin Genesis M Bautista Ii 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 ID5597954735

PECOS Enrollment IDI20110104000950

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

106 services97 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

82.77/100

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

Scored as part of a group practice

Quality

85.36

Promoting Interoperability

100

Improvement Activities

Cost

57.23

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.

JACQUELINE ANN OTS PENDING

Nurse Practitioner