DR. BLAKE BASHOR D.O
NPI 1417339748
Emergency Medicine in Hartford, WI

Q: What is Blake Bashor's NPI number?

The NPI number for Blake Bashor is 1417339748. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Q: What is Blake Bashor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Bashor was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 23, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1032 E SUMNER ST, HARTFORD, WI 53027(262) 673-2300 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2023, May 4, 2021, Jun 5, 2017 (3 updates tracked since 2017).

On this page

About Dr. Blake Bashor D.o NPPES

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

DR. BLAKE BASHOR D.O (NPI 1417339748) is an individual emergency medicine provider in Hartford, Wisconsin, licensed in Wisconsin (2779-021) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2015).

NPPES Registry Identity

NPI1417339748

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. BLAKE BASHORCredential: D.O

Location Address1032 E SUMNER STHartford, WI 53027-1608

Mailing AddressPo Box 735044Chicago, IL 60673-5044

Phone(262) 673-2300

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2015

Enumeration DateJune 23, 2015

Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1417339748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 2779-021✔ Licensed in PA · OS018472

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.

1032 E SUMNER ST, Hartford, WI 53027

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Other Identifiers 1

Medicaid100248198WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Oscar Insurance 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

Dr. Blake Bashor D.o 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 ID5193009843

PECOS Enrollment IDI20230905001280

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 4

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.

98 services89 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

70 services65 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.

31 services31 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520038

Location1032 E Sumner StHartford, WI 53027 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 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.

100/100

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

Scored through an Alternative Payment Model

Quality

90.76

Promoting Interoperability

100

Improvement Activities

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.

HEATHER LUDY

Clinical Nurse Specialist