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ANDREW BADILLO PA-C
NPI 1568023810
Physician Assistant in Fort Worth, TX

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-4151 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Badillo Pa-c NPPES

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

ANDREW BADILLO PA-C (NPI 1568023810) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA12873) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568023810
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW BADILLOCredential: PA-C
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address200 W Magnolia Ave Ste 201Fort Worth, TX 76104-7657 · (817) 702-2450
Phone(817) 702-4151
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateJuly 17, 2019
✔ NPI 1568023810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA12873
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 S MAIN ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Andrew Badillo Pa-c 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 ID9830427681
PECOS Enrollment IDI20190819001130
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Andrew Badillo's NPI number?

The NPI number for Andrew Badillo is 1568023810. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Andrew Badillo located?

Andrew Badillo practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-4151.

What is Andrew Badillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Badillo enrolled in Medicare?

Yes. Andrew Badillo 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 Andrew Badillo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Andrew Badillo 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 Andrew Badillo affiliated with any hospitals?

According to CMS data, Andrew Badillo is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Andrew Badillo was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.