DR. STUART B BAUER MD
NPI 1528045804
Urology in Boston, MA
NPI Status: Active since December 28, 2005
Contact Information
300 LONGWOOD AVE
CHILDRENS UROLOGICAL FOUNDATION
BOSTON, MA
ZIP 02115
Phone: (617) 355-8338
Fax: (617) 730-0474
- Individual
- Male
- Years of Experience 58
- Urology
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About STUART BAUER
This page provides the complete NPI Profile along with additional information for Stuart Bauer, a provider established in Boston, Massachusetts with a medical specialization in Urology and more than 58 years of experience. He graduated from University Of Rochester School Of Medicine And Dentistry in 1968. The healthcare provider is registered in the NPI registry with number 1528045804 assigned on December 2005. The practitioner's primary taxonomy code is 208800000X with license number 36354 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1528045804
- Provider Name
- DR. STUART B BAUER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 300 LONGWOOD AVE CHILDRENS UROLOGICAL FOUNDATION BOSTON, MA 02115
- Location Phone
- (617) 355-8338
- Location Fax
- (617) 730-0474
- Mailing Address
- 300 LONGWOOD AVE CHILDRENS UROLOGICAL FOUNDATION BOSTON, MA 02115
- Mailing Phone
- (617) 355-8338
- Mailing Fax
- (617) 730-0474
- Medical School Name
- UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
- Graduation Year
- 1968
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-28-2005
- Last Update Date
- 09-23-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36354
- License State
- MA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101565278 | OTHER (01) | CHA | |
| 36173 | OTHER (01) | FCHP | |
| 8372441001 | OTHER (01) | CIG2 | |
| Z11048 | OTHER (01) | HEALT | |
| 1006644 | OTHER (01) | WVT | |
| 1900234 | OTHER (01) | UNI1 | |
| 1900234 | OTHER (01) | UNI7 | |
| 30011521 | OTHER (01) | WNH | |
| N08970 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 2035332 | MEDICAID (05) | MA | |
| 000000009227 | OTHER (01) | BMC | |
| 1900234 | OTHER (01) | METRA | |
| 1900234 | OTHER (01) | UHP | |
| P2697366 | OTHER (01) | OXFORD | |
| 994719 | OTHER (01) | NETHE | |
| AA8296 | OTHER (01) | HPHC | |
| 0012835 | OTHER (01) | NHP | |
| 11273 | OTHER (01) | HNE | |
| 1900234 | OTHER (01) | UNI4 | |
| 702871 | OTHER (01) | TUFTS |
Medicare Participation & PECOS Enrollment Status
Stuart Bauer is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Stuart Bauer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3577504935
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050516000676
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF008N)
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each (HCPCS:A4351)
3 DME suppliers used 18 Medicare Claims 2660 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02115 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. STUART B BAUER MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 4 | 5 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 4 | 10 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 4 + 1 + 0 + 8 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1528045804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JENNIFER YILING SUN M.D.
Pediatrics
300 LONGWOOD AVE
DEPARTMENT OF NEWBORN MEDICINE - 7N
BOSTON, MA
ZIP 02115
MRS. KIRA A DIES SCM
Genetic Counselor, MS
300 LONGWOOD AVE
CLS 14074
BOSTON, MA
ZIP 02115
MS. JESSIE REBECCA HASTINGS M.S.
Genetic Counselor, MS
300 LONGWOOD AVE
DEPARTMENT OF CARDIOLOGY
BOSTON, MA
ZIP 02115
DR. PETER H WEINSTOCK MD PHD
Pediatrics
(Pediatric Critical Care Medicine)
300 LONGWOOD AVE
DIVISION OF CRITICAL CARE MEDICINE
BOSTON, MA
ZIP 02115
DR. HENRY LAWRENCE DORKIN MD
Pediatrics
(Pediatric Pulmonology)
300 LONGWOOD AVE
HUNNEWELL 2
BOSTON, MA
ZIP 02115
DR. JOAN MARILYN STOLER MD
Medical Genetics
(Clinical Genetics (M.D.))
300 LONGWOOD AVE
CHILDREN'S HOSPITAL
BOSTON, MA
ZIP 02115
DR. BONNIE L PADWA DMD, MD
Oral & Maxillofacial Surgery
300 LONGWOOD AVE
HU-158
BOSTON, MA
ZIP 02115
DR. HARVEY LOUIS LEVY MD
Medical Genetics
(Clinical Biochemical Genetics)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
WAYNE TWORETZKY MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
DAVID BROWN MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
DAVID FULTON MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
ROBERT GEGGEL MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
DR. BENJAMIN DAN MATTHEWS MD
Pediatrics
(Pediatric Critical Care Medicine)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
PETER LANG MD
Pediatrics
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
DR. ROSALIND BROWN M.D.
Pediatrics
(Pediatric Endocrinology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
JAMI LEVINE MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
RENEE MARGOSSIAN MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
AUDREY MARSHALL MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
MARY MULLEN MD
Pediatrics
(Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
MS. KIMBERLI A OMALLEY PNP
Nurse Practitioner
(Pediatrics)
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528045804, enumerated as an "individual" on December 28, 2005.
The provider is located at 300 LONGWOOD AVE CHILDRENS UROLOGICAL FOUNDATION BOSTON, MA 02115 and the phone number is (617) 355-8338.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.
