BRANDON DAVID BOMSTA DO
NPI 1538495106
Emergency Medicine in Portsmouth, OH

Active since November 02, 2009PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662(740) 356-8051(740) 353-7900 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon David Bomsta Do NPPES

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

BRANDON DAVID BOMSTA DO (NPI 1538495106) is an individual emergency medicine provider in Portsmouth, Ohio, licensed in Ohio (58.003363) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Bear Lake Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1538495106
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRANDON DAVID BOMSTACredential: DO
Location Address1735 27TH ST, WALLER BUILDING, SUITE B06Portsmouth, OH 45662-2677
Mailing Address1735 27th St, Waller Building, Suite B06Portsmouth, OH 45662-2677 · (740) 356-8051 · Fax (740) 353-7900
Fax(740) 353-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 2, 2009
NPI 1538495106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 58.003363
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.
1735 27TH ST, Portsmouth, OH 45662

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

Brandon David Bomsta Do 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 ID2062653140
PECOS Enrollment IDI20130801000489, I20230929002091
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID
OwnershipGovernment - Local
CMS Certification Number131316
Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1735 27TH ST, WALLER BUILDING, SUITE 206
PORTSMOUTH, OH 45662
Internal Medicine
1735 27TH ST, WALLER BUILDING, SUITE 108
PORTSMOUTH, OH 45662
Obstetrics & Gynecology
1735 27TH ST, WALLER BUILDING, SUITE 202
PORTSMOUTH, OH 45662
Internal Medicine (Infectious Disease)
1735 27TH ST, WALLER BUILDING, SUITE 206
PORTSMOUTH, OH 45662
Nurse Practitioner
1735 27TH ST, WALLER BUILDING SUITE 207
PORTSMOUTH, OH 45662
Pediatrics
1735 27TH ST, SUITE 201
PORTSMOUTH, OH 45662
Internal Medicine (Pulmonary Disease)
1735 27TH ST, BLDG C SUITE 108
PORTSMOUTH, OH 45662
Emergency Medicine
1735 27TH ST, WALLER BUILDING, SUITE B06
PORTSMOUTH, OH 45662

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 Brandon Bomsta's NPI number?

The NPI number for Brandon Bomsta is 1538495106. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Where is Brandon Bomsta located?

Brandon Bomsta practices at 1735 27th St Waller Building, Suite B06, Portsmouth, OH 45662. The listed phone number is (740) 356-8051.

What is Brandon Bomsta's specialty?

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

Is Brandon Bomsta enrolled in Medicare?

Yes. Brandon Bomsta 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.

Is Brandon Bomsta affiliated with any hospitals?

According to CMS data, Brandon Bomsta is affiliated with Bear Lake Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Bomsta was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.