JOHN CLAUDE BAGWELL MD
NPI 1568424356
Internal Medicine - Hematology & Oncology in Raton, NM

Active since April 05, 2006PECOS Enrolled
85.27/100
CMS Quality Rating
203 HOSPITAL DR, RATON, NM 87740(575) 445-7739 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Claude Bagwell Md NPPES

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

JOHN CLAUDE BAGWELL MD (NPI 1568424356) is an individual hematology & oncology provider in Raton, New Mexico, licensed in New Mexico (91-4) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568424356
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOHN CLAUDE BAGWELLCredential: MD
Location Address203 HOSPITAL DRRaton, NM 87740-2012
Mailing Address490a W Zia RdSanta Fe, NM 87505-6996 · (505) 913-8900 · Fax (505) 913-8922
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 15, 2015
✔ NPI 1568424356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NM · 91-4✔ Licensed in TX · D3140✔ Licensed in GA · 070527
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
203 HOSPITAL DR, Raton, NM 87740

Other Identifiers 1

Medicare UPINB21054

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Claude Bagwell Md 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.

Medicare Billing Reassignments

4

Medicare enrollment records show John Bagwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
Hematology & Oncology
4901 LANG AVE NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 106 clinicians in this Medicare group
Hematology & Oncology
400 MILITARY HEIGHTS PL
Roswell, NM 88201
  • Reassigned Medicare billing, New Mexico enrollment
  • 35 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
520 E 6TH ST
Odessa, TX 79761
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87740 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.74
Promoting Interoperability94
Improvement Activities40
Cost76.18

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
203 HOSPITAL DR
RATON, NM 87740
Community Health Worker
203 HOSPITAL DR
RATON, NM 87740
Surgery
203 HOSPITAL DR
RATON, NM 87740
General Acute Care Hospital (Critical Access)
203 HOSPITAL DR
RATON, NM 87740
Clinic/Center (Rural Health)
203 HOSPITAL DR
RATON, NM 87740
Obstetrics & Gynecology
203 HOSPITAL DR
RATON, NM 87740
Family Medicine
203 HOSPITAL DR
RATON, NM 87740
Internal Medicine
203 HOSPITAL DR
RATON, NM 87740

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 John Bagwell's NPI number?

The NPI number for John Bagwell is 1568424356. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is John Bagwell located?

John Bagwell practices at 203 Hospital Dr, Raton, NM 87740. The listed phone number is (575) 445-7739.

What is John Bagwell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is John Bagwell enrolled in Medicare?

Yes. John Bagwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Bagwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Bagwell reassigns Medicare benefits to 4 organizations: Presbyterian Healthcare Services (Espanola, NM), New Mexico Oncology Hematology Consultants, Ltd. (Albuquerque, NM), Masoud Khorsand- Sahbaie MD P A (Roswell, NM) and University Of Texas Southwestern Medical Center At Dallas (Odessa, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Bagwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Bagwell was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.