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Active NPI 1164414660 Individual Practitioner Male Practitioner

Dr. Rogelio L Bautista , MD

Surgery • Macon, MO

Professional Overview & Biography Verified Profile Summary

Dr. Rogelio Bautista, MD is a registered healthcare professional specializing in Surgery in Macon, MO. Practice services are available at 1201 N RUTHERFORD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 N Rutherford St

Macon, MO 635522020

Telephone 6603858900
Fax 6603858708
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Macon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Macon, MO (766 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 33051

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200148807 (MO)
Commercial Insurance / Payer ID Anthem Bcbs
20245 (MO)
Commercial Insurance / Payer ID Travelers Rr Medicare
022155151 (MO)

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1053350207

Doctor of Osteopathic Medicine (D.O.)

Paula Barr , FNP

Nurse Practitioner - Family

NPI 1114195187

Family Nurse Practitioner

Dr. Bradley Freidel , DO

Internal Medicine

NPI 1184744765

Doctor of Osteopathic Medicine (D.O.)

NPI 1255370482

Doctor of Medicine (M.D.)

Krystal Barnett

Nurse Practitioner - Family

NPI 1437552213
Jamie Oliver , NP

Nurse Practitioner - Family

NPI 1508417650

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2012

Registered at 1201 N RUTHERFORD ST, MACON, MO 635522020 (Tel: 6603858900)

📍
Updated Business Mailing Address September 24, 2012

Registered at 1201 N RUTHERFORD ST, MACON, MO 635522020 (Tel: 6603858900)

👤
Provider Name / Credentials Updated September 24, 2012

Recorded as ROGELIO BAUTISTA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Surgery (License #33051 in MO)

🟢
Initial NPI Registration & Enumeration August 19, 2005

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: 1164414660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: September 24, 2012
Sole Proprietor: No

Mailing Address

1201 N Rutherford St

Macon, MO 635522020

Phone: 6603858900

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.