Bryce A Basques, M.D., M.H.S.
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Raynham, MA
NPI 1124409032 · NPPES record last updated Sep 7, 2021
Key facts
- NPI
- 1124409032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- T287904 (MA)
- Practice address
- 675 Paramount Dr Ste 301
Raynham, MA 02767-5416 - Phone
- (508) 828-5848
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Yale University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Orthopedics Inc
Ptsma Inc
Orthopedic Care Physician Network, LLC
Practice addresses (Care Compare)
2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500
37 S Broad St
Pawcatuck, CT 06379-7909
Phone (860) 495-1919
675 Paramount Dr
Raynham, MA 02767-5416
Phone (508) 828-5848
Hospital & facility affiliations
- Visiting Nurse Home and Hospice
- Amedisys Home Health Care
- Nurse on Call
- Accentcare Home Health of Massachusetts
- The Miriam Hospital
- Rhode Island Hospital
- Brown University Health Morton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.76
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 230 |
| Laminectomy or laminotomy (partial removal of spine bones) | 95 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210915000951 | RI | Practitioner - Orthopedic Surgery | 2961792023 | Reassigns benefits to 1 organization |
| I20210922000218 | MA | Practitioner - Orthopedic Surgery | 2961792023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-066853 | IL | MD | Orthopaedic Surgery Physician |
| T287904 | MA | MD | Orthopaedic Surgery of the Spine Physician |
| MD469688 | PA | MD | Orthopaedic Surgery of the Spine Physician |
| MD17601 | RI | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopedics, Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopedic Care Physician Network, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopedic Care Physician Network LLC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
10 Reservoir St
Ste 101
Mansfield, MA 02048
Phone (508) 618-7111
15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273
675 Paramount Dr
Raynham, MA 02767
Phone (508) 828-5848
675 Paramount Dr
Ste 301
Raynham, MA 02767
Phone (508) 821-5671
1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
Interoperability endpoints
- bryce.basques.1@13709.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 125-066853 | IL | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD17601 | RI | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD469688 | PA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 25MA10793800 | NJ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | T287904 | MA | Yes |
Addresses
Primary practice location
675 Paramount Dr Ste 301
Raynham, MA 02767-5416
Mailing address
PO Box 1119
Providence, RI 02901-1119
Other practice location 1
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 457-1500
Other providers in Raynham, MA
- Arul, PC
- Clifford Askinazi
- Kevin Louis Avitabile
- Ekaterina Bagaeva
- Ruth Barnert
- Kathleen Baxter
- Behavioral Psychiatric & Psychological Associates, P.C.
- Gregg A Belle
- Kenneth Alan Berlin
- Lorrie Bertrand
All providers in Raynham, MA · Orthopaedic Surgery of the Spine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.