MA THERESA CONCEPCION BAUTISTA MD
NPI 1780973792
Internal Medicine - Critical Care Medicine in Charleston, WV

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
501 MORRIS ST, 3 WEST ADMINISTRATION, CHARLESTON, WV 25301(304) 388-3574(304) 388-6481 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ma Theresa Concepcion Bautista Md NPPES

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

MA THERESA CONCEPCION BAUTISTA MD (NPI 1780973792) is an individual critical care medicine provider in Charleston, West Virginia, licensed in West Virginia (25853) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1780973792
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameMA THERESA CONCEPCION BAUTISTACredential: MD
Location Address501 MORRIS ST, 3 WEST ADMINISTRATIONCharleston, WV 25301-1326
Mailing Address501 Morris St, Ste 357Charleston, WV 25301-1326 · (304) 388-3574 · Fax (304) 388-6481
Fax(304) 388-6481
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 30, 2011
Last NPPES UpdateNovember 24, 2015
NPI 1780973792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in WV · 25853
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
501 MORRIS ST, Charleston, WV 25301

Accepted 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

Ma Theresa Concepcion Bautista Md 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 ID3678744620
PECOS Enrollment IDI20140905000730
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
176 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services44 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
501 MORRIS ST
CHARLESTON, WV 25301
Rehabilitation Practitioner
501 MORRIS ST, CAMC GENERAL HOSPITAL
CHARLESTON, WV 25301
Emergency Medicine
501 MORRIS ST
CHARLESTON, WV 25301
Physical Medicine & Rehabilitation
501 MORRIS ST
CHARLESTON, WV 25301
Nurse Anesthetist, Certified Registered
501 MORRIS ST
CHARLESTON, WV 25301
Physician Assistant (Medical)
501 MORRIS ST
CHARLESTON, WV 25301
Nurse Practitioner (Family)
501 MORRIS ST, CHARLESTON AREA MEDICAL CENTER, INC.
CHARLESTON, WV 25301
Emergency Medicine
501 MORRIS ST
CHARLESTON, WV 25301

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 Ma Theresa Bautista's NPI number?

The NPI number for Ma Theresa Bautista is 1780973792. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Ma Theresa Bautista located?

Ma Theresa Bautista practices at 501 Morris St 3 West Administration, Charleston, WV 25301. The listed phone number is (304) 388-3574.

What is Ma Theresa Bautista's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ma Theresa Bautista enrolled in Medicare?

Yes. Ma Theresa Bautista 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 Ma Theresa Bautista accept?

Health plans from CareSource list Ma Theresa Bautista 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 Ma Theresa Bautista affiliated with any hospitals?

According to CMS data, Ma Theresa Bautista is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Ma Theresa Bautista was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.