Active NPI 1194758029 Individual Practitioner Male Practitioner

Dallas Scott Basham , NP

Nurse Practitioner • Crestview Hills, KY

Professional Overview & Biography Verified Profile Summary

Dallas Basham, NP is a registered healthcare professional specializing in Nurse Practitioner in Crestview Hills, KY. Practice services are available at 350 THOMAS MORE PKWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 Thomas More Pkwy
Suite 160

Crestview Hills, KY 410175465

Telephone 5132211100

Fax 5135695297

Associated Practice Facility / Clinic

🏢 Bogner & Carr, Inc. Facility NPI 1619011079

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Crestview Hills, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.1 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

38 Specialists

Practicing in Crestview Hills, KY (1865 Statewide)

Telehealth Adoption Rate

21.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	106	$365.00	$102.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$566.00	$134.49
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$247.00	$71.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	100	$365.00	$102.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$566.00	$131.62
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$247.00	$70.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	88	$365.00	$100.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$566.00	$134.27
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$247.00	$72.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$566.00	$136.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	47	$365.00	$105.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	31	$136.00	$31.63
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$247.00	$74.10
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	13	$335.00	$34.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	44	$136.00	$32.82
99213 Established patient office or other outpatient visit, typically 15 minutes	55	40	$247.00	$60.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$566.00	$134.80
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$352.00	$85.01
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$1396.00	$141.83
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	11	$335.00	$34.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	49	$136.00	$32.52
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$352.00	$83.54
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$247.00	$59.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$566.00	$132.96
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$1396.00	$145.09
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	11	$274.00	$28.25
63685 Insertion of spinal neurostimulator pulse generator or receiver	14	14	$457.00	$32.19
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	12	$335.00	$34.57
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$979.00	$101.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	102	74	$136.00	$31.74
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$247.00	$58.87
99221 Initial hospital inpatient care per day, typically 30 minutes	45	45	$352.00	$82.64
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	30	20	$335.00	$33.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$365.00	$75.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$566.00	$124.71
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$979.00	$100.26
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$2342.00	$241.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	73	$247.00	$58.59
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$352.00	$80.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	27	$136.00	$31.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$365.00	$82.15
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	11	$274.00	$27.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$566.00	$131.09
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	13	$335.00	$29.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$249.00	$58.64
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$1396.00	$137.00

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3003742

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License OH COA.06624-NP

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH COA.06624-NP

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH RN.178465-1

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License KY 3003742

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License KY 1097793

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2328734 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Neurological Surgery

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Dr. Zachary Plummer , MD

Neurological Surgery

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Doctor of Medicine (M.D.)

Megan Connett , PT

Physical Therapist

NPI 1033777172

Physical Therapist

Dr. Thomas Berger , MD

Neurological Surgery

NPI 1073542817

Doctor of Medicine (M.D.)

Peter Till , PT

Physical Therapist

NPI 1083063614

Physical Therapist

Dr. Michael Kachmann , MD

Neurological Surgery

NPI 1104040732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2016

Registered at 350 THOMAS MORE PKWY, SUITE 160, CRESTVIEW HILLS, KY 410175465 (Tel: 5132211100)

📍

Updated Business Mailing Address March 21, 2016

Registered at PO BOX 643398, CINCINNATI, OH 452643398 (Tel: 5132211100)

👤

Provider Name / Credentials Updated March 21, 2016

Recorded as DALLAS BASHAM, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2016

Registered Nurse (License #1097793 in KY)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194758029

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: March 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 643398

Cincinnati, OH 452643398

Phone: 5132211100

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.