LI BAO D.M.D.
NPI 1730501032
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Q: What is Li Bao's NPI number?

The NPI number for Li Bao is 1730501032. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Q: What is Li Bao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Li Bao enrolled in Medicare?

Yes. Li Bao 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.

Q: When was this NPI record last updated?

The NPPES record for Li Bao was last updated on August 6, 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.

Active since January 07, 2014PECOS EnrolledAccepts Medicare Assignment

475 COORS BLVD NW STE A, ALBUQUERQUE, NM 87121(505) 208-0505 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Mar 24, 2023, Jun 26, 2020 (3 updates tracked since 2020).

On this page

About Li Bao D.m.d. NPPES

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

LI BAO D.M.D. (NPI 1730501032) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in New Mexico (DD4029) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rio Rancho, and is a graduate of Boston Univ Goldman School Of Dental Medicine (2013).

NPPES Registry Identity

NPI1730501032

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameLI BAOCredential: D.M.D.

Location Address475 COORS BLVD NW STE AAlbuquerque, NM 87121-1426

Mailing Address475 Coors Blvd Nw Ste AAlbuquerque, NM 87121-1426 · (505) 208-0505

Phone(505) 208-0505

Sole ProprietorNo

Medical School CMSBoston Univ Goldman School Of Dental MedicineGraduated 2013

Enumeration DateJanuary 7, 2014

Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1730501032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NM · DD4029

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 63209 (CA), DD4029 (NM)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD4029 (NM)

475 COORS BLVD NW STE A, Albuquerque, NM 87121

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Secondary Practice Location 1

Location 14111 Barbara Loop SE Ste E2Rio Rancho, NM 87124-1068 · Phone (505) 208-0505

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Li Bao D.m.d. 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 ID9335514249

PECOS Enrollment IDI20230406002119

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 17

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.

Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet 15574

A flap graft is a surgical procedure where skin and tissue are moved from one area of the body to another. This is often done to repair areas affected by injury, disease, or surgery. The procedure helps restore function and appearance to the targeted region.

70 services19 patients

Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone 11012

This procedure involves the extraction of foreign objects lodged in your skin, muscle, or bone due to an open fracture or dislocation. It's performed under anesthesia and involves making an incision, removing the foreign material, and then closing the wound.

33 services15 patients

Biopsy of deep bone 20245

A biopsy of deep bone is a procedure where a small sample of bone tissue is taken for examination. This helps identify any abnormalities or diseases. The procedure involves a needle inserted through the skin into the bone. Mild discomfort may be felt, but it's generally safe.

33 services12 patients

Repair of lower jaw bone with bone graft 21215

This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.

33 services17 patients

Repair of nasal or cheek bone with bone graft 21210

This procedure involves fixing damaged nasal or cheek bones using a bone graft. A bone graft is a piece of healthy bone taken from another area of your body, or a special bone-like material. It's used to help your damaged bone heal, restore its original shape, or improve its function.

29 services12 patients

Collection of stem cells for transplantation 38206

Stem cells for transplantation are typically collected from your bloodstream in a process known as apheresis. It involves circulating your blood through a machine that separates out stem cells, returning the rest of the blood to your body. It's a non-surgical, outpatient procedure.

28 services14 patients

Removal of growth of mouth with simple repair 40812

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

28 services11 patients

Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth 41006

This procedure involves relieving a buildup of pus, fluid, or blood in the tongue or floor of the mouth. A healthcare professional makes a small incision inside the mouth to drain the buildup, helping to reduce discomfort and prevent further complications.

28 services11 patients

Drawing of blood for a medical problem 99195

Drawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.

28 services15 patients

Repair of lacerated mouth, more than 2.5 cm 40831

This procedure involves the careful stitching of a mouth wound longer than 2.5 cm. The aim is to promote healing, prevent infection, and minimize scarring. It's performed under local or general anesthesia, depending on the severity.

27 services12 patients

Incision and repair of bony defect of cheek bone with repositioning of bony segment 21208

This procedure involves making a cut to access and repair a defect in your cheek bone. The bone segment may be moved to a better position for healing. It's a common method to fix bone issues and promote proper healing.

26 services14 patients

Impression and custom preparation of oral surgical splint 21085

An oral surgical splint is a device designed to protect your mouth, align your jaw, or aid in healing after surgery. The process involves taking an impression of your teeth to create a splint that fits perfectly. This custom-made device ensures comfort and effectiveness.

23 services12 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.

21 services11 patients

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.

21 services14 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

19 services18 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

19 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87121 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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.

Other Providers at the Same Location NPPES

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

MS. SATIVA MARIE RIDSDALE RDH BS

Dental Hygienist

475 COORS BLVD NW STE A
ALBUQUERQUE, NM 87121

Bernalillo County (505) 208-0505

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 Li Bao's NPI number?

The NPI number for Li Bao is 1730501032. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Li Bao located?

Li Bao practices at 475 Coors Blvd NW Ste A, Albuquerque, NM 87121. The listed phone number is (505) 208-0505.

What is Li Bao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Li Bao enrolled in Medicare?

Yes. Li Bao 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 Li Bao accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Li Bao 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.

When was this NPI record last updated?

The NPPES record for Li Bao was last updated on August 6, 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.