Doctor profile · Federal record
Dr. Dan Bautista, M.D.
Family Medicine Physician (CMS: Family Practice) · Fairborn, OH
- NPI 1629006903
- Accepts Medicare
- MIPS 94.8 / 100 · 2023
- 35 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1840 Commerce Center Blvd
Fairborn, OH 453246337
(937) 754-4580
fax (937) 754-4575
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- September 19, 2011
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Ohio #35073682B
- Medicaid (2)
- OH #2080233 · OH #2871969
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629006903. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,838
Distinct HCPCS
10
Medicare allowed
$161,936
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 801 | 229 | $120 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 388 | 148 | $84 | |
G0442 |
Annual alcohol misuse screening, 5 to 15 minutes | 192 | 192 | $17 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 177 | 177 | $17 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 173 | 173 | $124 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 29 | 21 | $50 | |
96372 |
Injection of drug or substance under skin or into muscle | 22 | 12 | $13 | |
81003 |
Automated urinalysis test | 18 | 15 | $2 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 | 14 | $13 | |
G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 12 | 12 | $154 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 100. This provider delivers 18× the peer median.Open Payments
Industry payments received
All-time total
$1,323
Transactions
72
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 14 | $412.34 | |
| ABBVIE INC. | 18 | $214.18 | |
| Lilly USA, LLC | 13 | $139.59 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 5 | $93.43 | |
| Novartis Pharmaceuticals Corporation | 3 | $69.21 | |
| Dexcom, Inc. | 2 | $67.17 | |
| Amphastar Pharmaceuticals, Inc. | 3 | $52.82 | |
| Bayer Healthcare Pharmaceuticals Inc. | 3 | $50.53 | |
| GlaxoSmithKline, LLC. | 3 | $48.26 | |
| PFIZER INC. | 2 | $34.14 | |
| Phathom Pharmaceuticals, Inc. | 2 | $31.28 | |
| Astellas Pharma US Inc | 1 | $20.33 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $18.77 | |
| Otsuka America Pharmaceutical, Inc. | 1 | $18.64 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $18.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,530
Patients
1,020
Total drug cost
$51,819
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 455 | 120 | $6,038 |
| Levothyroxine Sodium | Generic | 430 | 101 | $7,151 |
| Amlodipine Besylate | Generic | 337 | 90 | $2,490 |
| Gabapentin | Generic | 295 | 65 | $5,412 |
| Omeprazole | Generic | 235 | 68 | $2,770 |
| Lisinopril | Generic | 219 | 56 | $1,766 |
| Metoprolol Succinate | Generic | 219 | 51 | $5,067 |
| Metformin Hcl | Generic | 202 | 55 | $1,730 |
| Losartan Potassium | Generic | 186 | 48 | $1,740 |
| Rosuvastatin Calcium | Generic | 182 | 48 | $5,627 |
Hospital affiliations
Frequently asked questions
What is Dr. Dan Bautista's medical specialty?
Dr. Dan Bautista practices Family Medicine Physician in Fairborn, OH.
Where does Dr. Dan Bautista practice?
Dr. Dan Bautista practices at 1840 Commerce Center Blvd, Fairborn, OH 453246337. Office phone: 9377544580.
What is Dr. Dan Bautista's NPI?
Dr. Dan Bautista's National Provider Identifier (NPI) is 1629006903, issued by NPPES.
Does Dr. Dan Bautista accept Medicare assignment?
Yes. Dr. Dan Bautista accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dan Bautista commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual alcohol misuse screening, 5 to 15 minutes (HCPCS G0442). Source: CMS Medicare Physician & Other Practitioners file.