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CHARLES E BATAYOLA D.O.
NPI 1447223904
Family Medicine in Richland, WA

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
560 GAGE BLVD STE 101, RICHLAND, WA 99352(509) 942-3286(509) 628-1354 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2021, Mar 17, 2018, Dec 27, 2017 (3 updates tracked since 2017).

About Charles E Batayola D.o. NPPES

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

CHARLES E BATAYOLA D.O. (NPI 1447223904) is an individual family medicine provider in Richland, Washington, licensed in Washington (OP00001867) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and maintains a secondary practice location in Kennewick.

NPPES Registry Identity

NPI1447223904
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES E BATAYOLACredential: D.O.
Location Address560 GAGE BLVD STE 101Richland, WA 99352-9531
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-3627 · Fax (509) 627-2983
Phone(509) 942-3286
Fax(509) 628-1354
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2000
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 16, 20213 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1447223904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00001867
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.
560 GAGE BLVD STE 101, Richland, WA 99352
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Secondary Practice Location 1

Location 13900 S Zintel WayKennewick, WA 99337-5092 · Phone (509) 942-3627 ext. 7417 · Fax (509) 628-1354

Other Identifiers 2

Medicaid1118124WA
Other172404WA · L & I

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.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

Charles E Batayola 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 ID3072567304
PECOS Enrollment IDI20050309000438
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 8

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.
484 services234 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.
156 services111 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.
54 services54 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
45 services45 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
34 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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
11 suppliers37 claims96 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims17 services$1.05 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims400 services$5.82 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims4,261 services$0.32 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers31 claims31 services$193.16 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 4

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

JILENE M WINTHER PHARMD
Pharmacist
560 GAGE BLVD STE 101
RICHLAND, WA 99352
Benton County (509) 942-3135
WILLIAM DAVID KALICHMAN M.D.
Internal Medicine
560 GAGE BLVD STE 101, KADLEC CLINIC SOUTH RICHLAND PRIMARY CARE
RICHLAND, WA 99352
Benton County (509) 628-2843
CHRISTY MARIA CHANTHARATH ARNP
Nurse Practitioner (Family)
560 GAGE BLVD STE 101
RICHLAND, WA 99352
Benton County (509) 942-3286
FATIMA FAREED PA-C
Physician Assistant
560 GAGE BLVD STE 101
RICHLAND, WA 99352
Benton County (590) 942-3286

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 Charles Batayola's NPI number?

The NPI number for Charles Batayola is 1447223904. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Charles Batayola located?

Charles Batayola practices at 560 Gage Blvd Ste 101, Richland, WA 99352. The listed phone number is (509) 942-3286.

What is Charles Batayola's specialty?

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

Is Charles Batayola enrolled in Medicare?

Yes. Charles Batayola 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.

What insurance does Charles Batayola accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charles Batayola 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 Charles Batayola affiliated with any hospitals?

According to CMS data, Charles Batayola is affiliated with Kadlec Regional Medical Center and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Batayola was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.