DR. IGOR V BULATOV MD
NPI 1912091646
Anesthesiology - Pediatric Anesthesiology in Santa Maria, CA

Active since October 03, 2006PECOS Enrolled
82.39/100
CMS Quality Rating
1400 E CHURCH ST, SANTA MARIA, CA 93454(805) 739-3000 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Aug 15, 2023 (2 updates tracked since 2023).

About Dr. Igor V Bulatov Md NPPES

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

DR. IGOR V BULATOV MD (NPI 1912091646) is an individual pediatric anesthesiology provider in Santa Maria, California, licensed in California (A71433) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1912091646
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameDR. IGOR V BULATOVCredential: MD
Location Address1400 E CHURCH STSanta Maria, CA 93454-5906
Mailing Address1400 E Church StSanta Maria, CA 93454-5906 · (805) 739-3000
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 14, 20242 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1912091646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Licenses✔ Licensed in CA · A71433✔ Licensed in WI · 81299✔ Licensed in IA · MD-52447
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
1400 E CHURCH ST, Santa Maria, CA 93454

Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-2633 · Fax (319) 356-2940

Other Identifiers 1

MedicaidZZZ71868ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Igor V Bulatov 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

8

Medicare enrollment records show Igor Bulatov reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
901 OAK PARK BLVD, SUITE 101
Pismo Beach, CA 93449
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Anesthesiology
7341 N 1ST ST STE 106
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 293 clinicians in this Medicare group
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1700 W STOUT ST
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 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 93454 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Physician Assistant
1400 E CHURCH ST
SANTA MARIA, CA 93454
Social Worker
1400 E CHURCH ST
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
1400 E CHURCH ST
SANTA MARIA, CA 93454
Physician Assistant
1400 E CHURCH ST
SANTA MARIA, CA 93454
Internal Medicine (Nephrology)
1400 E CHURCH ST, BUILDING 8
SANTA MARIA, CA 93454
Internal Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Emergency Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454
Emergency Medicine
1400 E CHURCH ST
SANTA MARIA, CA 93454

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 Igor Bulatov's NPI number?

The NPI number for Igor Bulatov is 1912091646. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Igor Bulatov located?

Igor Bulatov practices at 1400 E Church St, Santa Maria, CA 93454. The listed phone number is (805) 739-3000.

What is Igor Bulatov's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Igor Bulatov enrolled in Medicare?

Yes. Igor Bulatov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Igor Bulatov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Igor Bulatov reassigns Medicare benefits to 8 organizations: First Choice Physician Partners (Pismo Beach, CA), Valley Regional Anesthesia Associates Inc (Fresno, CA), Mchs Hospitals Inc (Eau Claire, WI), Lakeview Medical Center Inc Of Rice Lake (Rice Lake, WI), Memorial Hospital Inc (Neillsville, WI) and 3 more organizations, listed in the Medicare section above. 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 Igor Bulatov'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 Igor Bulatov was last updated on March 14, 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.