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SHAWN M BAHLEDA
NPI 1598073801
Physician Assistant in Gaylord, MI

Active since September 21, 2010PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
829 N CENTER AVE, GAYLORD, MI 49735(989) 731-7860(989) 731-7833 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2020, Aug 28, 2020 (2 updates tracked since 2020).

About Shawn M Bahleda NPPES

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

SHAWN M BAHLEDA (NPI 1598073801) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601005821) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598073801
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAWN M BAHLEDA
Location Address829 N CENTER AVEGaylord, MI 49735-1595
Mailing Address850 N Otsego Ave, Suite 1Gaylord, MI 49735-1568 · (989) 731-7708 · Fax (989) 731-7929
Phone(989) 731-7860
Fax(989) 731-7833
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 21, 2010
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1598073801 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 MI · 5601005821
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.
829 N CENTER AVE, Gaylord, MI 49735
Open in Google Maps ↗

Other Identifiers 1

OtherOF96004MI · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health 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

Shawn M Bahleda 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 ID1254525991
PECOS Enrollment IDI20101027000411
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
171 services164 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services30 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

DR. JOHN DAVID MOFFAT M.D.
Surgery
829 N CENTER AVE, SUITE 120
GAYLORD, MI 49735
Otsego County (989) 731-7987
STEVEN JOHN WISNIEWSKI M.D.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870
DR. CHANGXIN LI M.D.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
829 N CENTER AVE
GAYLORD, MI 49735
Otsego County (989) 731-7708
KATHLEEN MARIE PAWLANTA F.N.P.
Nurse Practitioner (Family)
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Otsego County (989) 731-7860
JOHN MATTHEW LAWRENCE
Physician Assistant
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Otsego County (989) 731-7860
GAYLORD OBSTETRICS & GYNECOLOGY. P.C.
Obstetrics & Gynecology
829 N CENTER AVE, SUITE 200
GAYLORD, MI 49735
Otsego County (989) 731-2105
MATTHEW A MAZUR D.O.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870

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 Shawn Bahleda's NPI number?

The NPI number for Shawn Bahleda is 1598073801. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Shawn Bahleda located?

Shawn Bahleda practices at 829 N Center Ave, Gaylord, MI 49735. The listed phone number is (989) 731-7860.

What is Shawn Bahleda's specialty?

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

Is Shawn Bahleda enrolled in Medicare?

Yes. Shawn Bahleda 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 Shawn Bahleda accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Shawn Bahleda 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 Shawn Bahleda affiliated with any hospitals?

According to CMS data, Shawn Bahleda is affiliated with Bronson Methodist Hospital and Bronson Battle Creek Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Bahleda was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.