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DR. DON BOUSEL M.D.
NPI 1487644878
Internal Medicine in Baltimore, MD

Active since October 26, 2005PECOS Enrolled
2411 W BELVEDERE AVE, STE 201, BALTIMORE, MD 21215(410) 542-5116 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Don Bousel M.d. NPPES

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

DR. DON BOUSEL M.D. (NPI 1487644878) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D36353) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487644878
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DON BOUSELCredential: M.D.
Location Address2411 W BELVEDERE AVE, STE 201Baltimore, MD 21215-5229
Mailing Address2300 Bright Leaf WayBaltimore, MD 21209-3470 · (410) 358-8232
Phone(410) 542-5116
Sole ProprietorYes
Enumeration DateOctober 26, 2005
Last NPPES UpdateMarch 30, 2017
✔ NPI 1487644878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D36353
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2411 W BELVEDERE AVE, Baltimore, MD 21215
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Other Identifiers 3

Medicare UPINE51201MD
Medicare ID-Type Unspecified622QMD
Medicaid528101600MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Don Bousel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
310 services130 patients
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.
195 services102 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.
34 services34 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%476 patients4/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
94%213 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
86%2,875 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%10,880 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
74%372 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%783 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 662 patients
Patients tobacco: 95% · 662 patients
67%131 patients3/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%855 patients1/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
3%855 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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
14 suppliers51 claims146 services$6.27 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers11 claims11 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers24 claims37 services$1.12 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims420 services$2.62 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 20

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

DR. BARBARA ANNE COCHRAN M.D.
Internal Medicine
2411 W BELVEDERE AVE, SUITE 504
BALTIMORE, MD 21215
Baltimore City (410) 467-3690
FOUAD M ABBAS
Obstetrics & Gynecology
2411 W BELVEDERE AVE, SUITE 206
BALTIMORE, MD 21215
Baltimore City (410) 601-9030
DR. MOHAMMED MARWAN ABUZAHRA MD
Internal Medicine (Cardiovascular Disease)
2411 W BELVEDERE AVE, SUITE 509
BALTIMORE, MD 21215
Baltimore City (410) 367-0100
MULETA D TAFA M.D.
Internal Medicine
2411 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 601-9200
ILONA DENNEN
Pharmacist
2411 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-0125
DR. MICHAEL E ALTMAN M.D.
Ophthalmology
2411 W BELVEDERE AVE, 6TH FLOOR
BALTIMORE, MD 21215
Baltimore City (410) 601-8617
BARRY BLOOM R.PH
Pharmacist
2411 W BELVEDERE AVE
BALTIMORE, MD 21215
Baltimore City (410) 542-0125
DR. GWEN LYNN DU BOIS M.D.
Internal Medicine
2411 W BELVEDERE AVE, 504
BALTIMORE, MD 21215
Baltimore City (410) 601-0070

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 Don Bousel's NPI number?

The NPI number for Don Bousel is 1487644878. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Don Bousel located?

Don Bousel practices at 2411 W Belvedere Ave Ste 201, Baltimore, MD 21215. The listed phone number is (410) 542-5116.

What is Don Bousel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Don Bousel enrolled in Medicare?

Yes. Don Bousel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Don Bousel was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.