JOEL O BAUTISTA MD
NPI 1700878253
Surgery in Deland, FL

Active since August 19, 2005PECOS Enrolled
78.18/100
CMS Quality Rating
151 VICTORIA COMMONS BLVD, SUITE 105, DELAND, FL 32724(386) 943-7175(386) 734-8825 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joel O Bautista Md NPPES

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

JOEL O BAUTISTA MD (NPI 1700878253) is an individual surgery provider in Deland, Florida, licensed in Florida (ME 102468) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700878253
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOEL O BAUTISTACredential: MD
Location Address151 VICTORIA COMMONS BLVD, SUITE 105Deland, FL 32724-7700
Mailing Address151 Victoria Commons Blvd, Suite 105Deland, FL 32724-7700 · (386) 943-7175 · Fax (386) 734-8825
Fax(386) 734-8825
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateOctober 6, 2010
✔ NPI 1700878253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME 102468
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
151 VICTORIA COMMONS BLVD, Deland, FL 32724

Other Identifiers 5

Medicare ID-Type Unspecified000004007MO
Medicare UPINF41441MO
Other29232MO · Anthem Bc/bs
Other020019367MO · Travelers Medicare
Medicaid203716105MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel O Bautista 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 Reassignment

Medicare enrollment records show Joel Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 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 32724 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 3

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

Occupational Therapist
151 VICTORIA COMMONS BLVD
DELAND, FL 32724
Family Medicine
151 VICTORIA COMMONS BLVD, SUITE 102
DELAND, FL 32724
Occupational Therapist (Hand)
151 VICTORIA COMMONS BLVD, SUITE 107
DELAND, FL 32724

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 Joel Bautista's NPI number?

The NPI number for Joel Bautista is 1700878253. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Joel Bautista located?

Joel Bautista practices at 151 Victoria Commons Blvd Suite 105, Deland, FL 32724. The listed phone number is (386) 943-7175.

What is Joel Bautista's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joel Bautista enrolled in Medicare?

Yes. Joel Bautista is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joel Bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Bautista reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Joel Bautista'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 Joel Bautista was last updated on October 6, 2010. 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.