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DR. PHILIP ANTHONY BASALA D.O.
NPI 1558376137
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Keyser, WV

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
POTOMAC VALLEY HOSPITAL, 100 PIN OAK LANE, KEYSER, WV 26726(304) 597-3510(304) 597-3513 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2024, Jun 10, 2022, Nov 12, 2021 (3 updates tracked since 2021).

About Dr. Philip Anthony Basala D.o. NPPES

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

DR. PHILIP ANTHONY BASALA D.O. (NPI 1558376137) is an individual urogynecology and reconstructive pelvic surgery provider in Keyser, West Virginia, licensed in West Virginia (1245) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Potomac Valley Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1558376137
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. PHILIP ANTHONY BASALACredential: D.O.
Location AddressPOTOMAC VALLEY HOSPITAL, 100 PIN OAK LANEKeyser, WV 26726
Mailing Address328 Sunny Meadows LnSwanton, MD 21561-2677 · (412) 848-2631
Phone(304) 597-3510
Fax(304) 597-3513
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1558376137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Licenses✔ Licensed in WV · 1245✔ Licensed in MD · H0099654
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
POTOMAC VALLEY HOSPITAL, Keyser, WV 26726
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Other Identifiers 1

Medicaid0012925630006PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Philip Anthony Basala 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 ID7517035900
PECOS Enrollment IDI20240126002571
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.

Hospital Affiliations CMS Care Compare

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

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26726 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

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 Philip Basala's NPI number?

The NPI number for Philip Basala is 1558376137. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Philip Basala located?

Philip Basala practices at Potomac Valley Hospital 100 Pin Oak Lane, Keyser, WV 26726. The listed phone number is (304) 597-3510.

What is Philip Basala's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Philip Basala enrolled in Medicare?

Yes. Philip Basala 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 Philip Basala accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Philip Basala 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 Philip Basala affiliated with any hospitals?

According to CMS data, Philip Basala is affiliated with Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Philip Basala was last updated on April 4, 2024. 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.