Doctor profile · Federal record
Dr. Dallas Basham, NP
Nurse Practitioner · Acute Care Nurse Practitioner · Nurse Practitioner · Registered Nurse · Acute Care Nurse Practitioner · Registered Nurse · Crestview Hills, KY
- NPI 1194758029
- MIPS 90.4 / 100 · 2023
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
350 Thomas More Pkwy, Suite 160
Crestview Hills, KY 410175465
(513) 221-1100
fax (513) 569-5297 - Mailing address
-
Po Box 643398
Cincinnati, OH 452643398
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- March 21, 2016
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (4)
- Kentucky #3003742 · Ohio #COA.06624-NP · Ohio #RN.178465-1 · Kentucky #1097793
- Medicaid
- OH #2328734
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194758029. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
291
Distinct HCPCS
3
Medicare allowed
$32,182
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 139 | 100 | $102 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 118 | 118 | $132 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 34 | 28 | $71 |
In context: peer comparison
Among 14 peers in Crestview Hills Nurse Practitioner, average services per provider: 126. This provider delivers 2.3× the peer median.Open Payments
Industry payments received
All-time total
$39
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 2 | $39.10 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
169
Patients
104
Total drug cost
$1,602
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 57 | 26 | $639 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 32 | 28 | $341 |
| Cyclobenzaprine Hcl | Generic | 28 | 18 | $291 |
| Tramadol Hcl | Generic | 19 | 15 | $102 |
| Methylprednisolone | Generic | 18 | 17 | $159 |
| Tizanidine Hcl | Generic | 15 | 0 | $69 |
Frequently asked questions
What is Dr. Dallas Basham's medical specialty?
Dr. Dallas Basham practices Nurse Practitioner in Crestview Hills, KY.
Where does Dr. Dallas Basham practice?
Dr. Dallas Basham practices at 350 Thomas More Pkwy, Crestview Hills, KY 410175465. Office phone: 5132211100.
What is Dr. Dallas Basham's NPI?
Dr. Dallas Basham's National Provider Identifier (NPI) is 1194758029, issued by NPPES.
What procedures does Dr. Dallas Basham commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.