Geoffrey Bacon, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101048019 Issued in VA

Practice address

901 Enterprise Parkway
Suite 300
Hampton, VA 23666-2583

Phone

(757) 825-2500

Fax

(757) 825-2521

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.94 of 100Reported as group

Quality

82.83

Promoting interoperability

100

Improvement activities

40

Cost

76.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gbacon@hamptonroadsent.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hampton Roads Otolaryngology Associates PLLC

  • Non-Pharmacy Dispensing Site
  • Hampton, VA
  • NPI 1053742031
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1407856610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PARKWAY",
            "address_2": "SUITE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662583",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101048019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "235056",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006502415",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaimaa Azzubairi, DMD
• B&M Group Homes,LLC
• Ali Hussein Baalbaki, MD
• Kathy Szynklewski Babel, PSY.D.
• Dana Lynne Bachtell, MD
• Nader Talat Baddar, M.D.
• Victoria Sam Baffour, NP
• Farrah Bailey, LCSW
• Yvonne Annette Bailey, LCSW
• Ronald Clyde Bailiff, M.D.

• Otolaryngology Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.