Active NPI 1417916875 Individual Practitioner Male Practitioner

Dr. John C Batbouta , MD

Internal Medicine • Spencer, MA

Professional Overview & Biography Verified Profile Summary

Dr. John Batbouta, MD is a registered healthcare professional specializing in Internal Medicine in Spencer, MA. Practice services are available at 407 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

407 Main St

Spencer, MA 01562

Telephone 5088859737

Fax 5088856139

Associated Practice Facility / Clinic

🏢 Quest Diagnostics Massachusetts Llc Facility NPI 1104844158

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spencer, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Spencer, MA (7127 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.5% 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 (2018)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	190	158	$18.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	92	$298.00	$111.46
G0444 Annual depression screening, 5 to 15 minutes	89	89	$47.00	$18.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$288.00	$122.09
G0102 Prostate cancer screening; digital rectal examination	58	58	$50.00	$22.53
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	36	33	$136.00	$56.44
81003 Automated urinalysis test	33	24	$9.00	$2.71
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$201.00	$76.52
G0179 Physician re-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 to affirm the initial imp	13	11	$105.00	$41.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	328	205	$18.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	171	$274.31	$107.42
G0008 Administration of influenza virus vaccine	117	116	$63.00	$28.66
G0444 Annual depression screening, 5 to 15 minutes	111	111	$47.00	$18.04
90662 Influenza vaccine split virus, preservative free	105	104	$122.06	$47.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$288.00	$116.16
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	75	58	$136.00	$54.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	13	$63.00	$26.01
G0102 Prostate cancer screening; digital rectal examination	61	61	$50.00	$20.23
81003 Automated urinalysis test	50	34	$9.00	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$187.29	$73.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	19	$52.91	$20.61
G0009 Administration of pneumococcal vaccine	20	20	$63.00	$28.66
G0179 Physician re-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 to affirm the initial imp	19	12	$105.00	$41.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$429.00	$171.04
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$48.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$151.73	$92.91

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 44903

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0141038 (MA)

Commercial Insurance / Payer ID Healthcare Value Managmen

043058466

Commercial Insurance / Payer ID First Health

934922

Commercial Insurance / Payer ID Aetna Us Healthcare

4034909

Commercial Insurance / Payer ID One Health Plan

042472266

Commercial Insurance / Payer ID Private Healthcare System

042472266

Commercial Insurance / Payer ID Healthy Start

26851

Commercial Insurance / Payer ID Mvp Health Care

784246

Commercial Insurance / Payer ID Fallon Community Health P

9900035

Commercial Insurance / Payer ID Blue Shield Hmo Blue

E47011

Practice Associates & Co-Workers

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

2 Associated Practitioners

Tehan Cusimano , PA

Physician Assistant

NPI 1326027251

Physician Assistant

Dr. Elizabeth Fuller , MD

Family Medicine

NPI 1669433645

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 January 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2009

Registered at 407 MAIN ST, SPENCER, MA 01562 (Tel: 5088859737)

📍

Updated Business Mailing Address January 30, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5088859737)

👤

Provider Name / Credentials Updated January 30, 2009

Recorded as JOHN BATBOUTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2009

Internal Medicine (License #44903 in MA)

🟢

Initial NPI Registration & Enumeration March 22, 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: 1417916875

Entity Type:

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

Enumeration Date: March 22, 2006

Last Update: January 30, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

630 Plantation St

Worcester, MA 01605

Phone: 5088859737

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.