Active NPI 1912962028 Individual Practitioner Male Practitioner

Dr. Michael David Bastasch , MD

Specialist • Fremont, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bastasch, MD is a certified Specialist practicing in Fremont, CA. With approximately 27 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1999, Dr. Bastasch delivers high-quality medical care to the local community at 39101 CIVIC CENTER DR.

Dr. Bastasch is affiliated with Etmc Physician Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include ct guidance for insertion of radiation therapy fields, radiation treatment management, 5 treatments, calculation of radiation therapy dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

39101 Civic Center Dr

Fremont, CA 945385817

Telephone 5107967212

Fax 5107456469

Associated Practice Facility / Clinic

🏢 Washington Township Hospital Development Corporation Facility NPI 1508817115

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fremont, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -7.6 yrs vs City Avg

City Avg: 34.6 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

26 Specialists

Practicing in Fremont, CA (6446 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bastasch (27 Years) 27 Yrs

Fremont Specialty Average (34.6 Years) 34.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77014 Ct guidance for insertion of radiation therapy fields	1,153	49	$130.00	$42.31
77427 Radiation treatment management, 5 treatments	228	49	$550.00	$180.81
77300 Calculation of radiation therapy dose	162	56	$100.00	$30.85
99213 Established patient office or other outpatient visit, typically 15 minutes	79	47	$150.00	$62.54
77338 Design and construction of radiation treatment device for high precision radiation therapy	73	57	$660.00	$213.43
77334 Design and construction of complex radiation treatment device	70	59	$190.00	$56.93
77301 Management of modulation radiotherapy planning	69	57	$1220.00	$397.10
77263 Complex radiation therapy planning	60	57	$490.00	$154.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$390.00	$126.46
77293 Respiratory motion management simulation	17	17	$310.00	$99.36
77435 Management of cranial lesion surgery using radiation over multiple sessions	13	12	$1860.00	$607.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$500.00	$172.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77014 Ct guidance for insertion of radiation therapy fields	905	37	$130.00	$42.44
77427 Radiation treatment management, 5 treatments	178	37	$550.00	$180.78
77300 Calculation of radiation therapy dose	130	40	$100.00	$31.17
99213 Established patient office or other outpatient visit, typically 15 minutes	59	41	$150.00	$63.46
77338 Design and construction of radiation treatment device for high precision radiation therapy	54	38	$660.00	$212.88
77334 Design and construction of complex radiation treatment device	48	38	$190.00	$57.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$390.00	$125.87
77301 Management of modulation radiotherapy planning	42	37	$1220.00	$400.46
77263 Complex radiation therapy planning	35	35	$490.00	$159.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77014 Ct guidance for insertion of radiation therapy fields	632	29	$130.00	$43.62
77300 Calculation of radiation therapy dose	181	50	$100.00	$31.85
77427 Radiation treatment management, 5 treatments	153	35	$550.00	$182.70
77334 Design and construction of complex radiation treatment device	95	51	$190.00	$58.92
77263 Complex radiation therapy planning	50	48	$490.00	$155.88
77338 Design and construction of radiation treatment device for high precision radiation therapy	49	42	$660.00	$219.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$390.00	$128.08
77301 Management of modulation radiotherapy planning	45	41	$1220.00	$408.87
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$150.00	$63.16
77293 Respiratory motion management simulation	15	15	$310.00	$102.70
77435 Management of cranial lesion surgery using radiation over multiple sessions	12	12	$1860.00	$621.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77014 Ct guidance for insertion of radiation therapy fields	738	32	$130.00	$44.31
77300 Calculation of radiation therapy dose	162	48	$100.00	$32.16
77427 Radiation treatment management, 5 treatments	154	37	$550.00	$186.02
77334 Design and construction of complex radiation treatment device	71	42	$190.00	$58.68
77263 Complex radiation therapy planning	48	46	$490.00	$159.42
77338 Design and construction of radiation treatment device for high precision radiation therapy	47	38	$660.00	$219.36
77301 Management of modulation radiotherapy planning	42	38	$1220.00	$409.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$390.00	$132.89
77470 Special radiation treatment procedure	13	13	$320.00	$105.72
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	13	11	$240.00	$74.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77014 Ct guidance for insertion of radiation therapy fields	500	24	$130.00	$44.69
77427 Radiation treatment management, 5 treatments	129	31	$550.00	$188.40
77300 Calculation of radiation therapy dose	99	30	$98.99	$32.51
77334 Design and construction of complex radiation treatment device	53	34	$190.00	$60.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$390.00	$126.94
77338 Design and construction of radiation treatment device for high precision radiation therapy	31	22	$660.00	$225.27
77263 Complex radiation therapy planning	28	28	$490.00	$167.70
77301 Management of modulation radiotherapy planning	24	22	$1220.00	$419.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	264	13	$2218.93	$477.36
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	251	15	$52.04	$24.72
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	171	30	$53.96	$22.46
77014 Ct guidance for insertion of radiation therapy fields	145	28	$117.54	$48.16
77300 Calculation of radiation therapy dose	145	17	$158.61	$42.97
77427 Radiation treatment management, 5 treatments	87	50	$493.71	$203.92
77336 Continuing radiation therapy consultation per week	76	20	$289.17	$105.58
77427 Radiation treatment management, 5 treatments	75	20	$550.13	$217.46
77334 Design and construction of complex radiation treatment device	66	15	$281.65	$81.52
77300 Calculation of radiation therapy dose	53	20	$87.25	$35.61
77334 Design and construction of complex radiation treatment device	48	21	$167.82	$65.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$298.00	$137.79
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	23	22	$97.75	$40.63
77263 Complex radiation therapy planning	23	23	$543.31	$178.13
77332 Design and construction of simple radiation treatment device	17	16	$76.43	$26.01
77470 Special radiation treatment procedure	15	15	$282.00	$113.50
77295 3d radiation therapy planning	14	13	$600.21	$246.01
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	14	14	$216.24	$89.94
77263 Complex radiation therapy planning	13	13	$1258.74	$191.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$81.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$556.50	$239.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	878	32	$2218.93	$466.21
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	852	36	$51.81	$24.01
77300 Calculation of radiation therapy dose	482	56	$169.34	$44.03
G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev	419	26	$822.53	$357.50
77427 Radiation treatment management, 5 treatments	280	65	$550.13	$211.70
77336 Continuing radiation therapy consultation per week	273	65	$289.17	$105.71
77334 Design and construction of complex radiation treatment device	208	67	$329.11	$92.35
G6012 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	106	12	$718.20	$357.49
77417 X-ray during radiation therapy	86	30	$261.45	$14.70
77263 Complex radiation therapy planning	69	69	$1258.74	$187.34
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	58	31	$394.59	$246.82
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	53	37	$1207.70	$504.40
77301 Management of modulation radiotherapy planning	41	29	$5077.65	$1873.24
77295 3d radiation therapy planning	40	26	$1837.67	$417.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$556.50	$237.37
77332 Design and construction of simple radiation treatment device	33	23	$208.19	$52.10
77338 Design and construction of radiation treatment device for high precision radiation therapy	31	29	$1456.83	$621.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$445.20	$189.80
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$240.79	$85.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	706	35	$88.37	$31.17
G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev	681	39	$822.53	$340.34
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	660	24	$2218.93	$443.99
77427 Radiation treatment management, 5 treatments	347	78	$550.13	$206.62
G6012 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	338	20	$718.20	$339.87
77336 Continuing radiation therapy consultation per week	330	78	$289.17	$100.62
77300 Calculation of radiation therapy dose	329	61	$262.98	$67.11
77334 Design and construction of complex radiation treatment device	211	74	$480.12	$134.37
77417 X-ray during radiation therapy	142	48	$261.45	$13.85
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	97	76	$581.97	$344.85
77263 Complex radiation therapy planning	77	75	$1258.74	$183.37
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	71	52	$1598.16	$636.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$556.50	$232.37
77295 3d radiation therapy planning	46	40	$2604.10	$568.73
77332 Design and construction of simple radiation treatment device	43	30	$267.07	$75.12
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$240.79	$84.41
77301 Management of modulation radiotherapy planning	22	22	$6939.46	$2450.66
77338 Design and construction of radiation treatment device for high precision radiation therapy	22	22	$1505.39	$616.20
77307 Radiation therapy plan	21	21	$1078.44	$338.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$445.20	$185.47

Medical Specialties & State Licenses

CMS Verified: 2020-11-10

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX L9092

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License CA A85084

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

16796101 (TX)

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

721 Clinic Dr, Tyler, TX 757012043

Phone: 9035356301

Etmc Physician Group, Inc.

2000 S Palestine St, Athens, TX 757515610

Phone: 9036761000

Etmc Physician Group, Inc.

18118 Fm 344, Flint, TX 757626010

Phone: 9038253292

Etmc Physician Group, Inc.

1801 S Palestine St, Athens, TX 757515605

Phone: 9036778300

Secondary Practice Locations

1801 S Palestine St

Athens, TX 757515605

Phone: 9036778300

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address June 23, 2021

Registered at 1801 S PALESTINE ST, ATHENS, TX 757515605 (Tel: 9036778300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2020

Specialist (License #L9092 in TX)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 39101 CIVIC CENTER DR, FREMONT, CA 945385817 (Tel: 5107967212)

📍

Updated Business Mailing Address July 08, 2007

Registered at 39101 CIVIC CENTER DR, FREMONT, CA 945385817 (Tel: 5107967212)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BASTASCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #A85084 in CA)

🟢

Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912962028

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 20, 2006

Last Update: June 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1801 S Palestine St

Athens, TX 757515605

Phone: 9036778300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.