John Claude Bagwell, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

91-4 Issued in NM

Practice address

203 Hospital Dr
Raton, NM 87740-2012

Phone

(575) 445-7739

NPI assigned

Apr 5, 2006

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

88.51 of 100Reported as group

Quality

93.17

Promoting interoperability

93

Improvement activities

40

Cost

74.35

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Masoud Khorsand- Sahbaie MD P a

  dba Kymera Independent Physicians

  • Hematology & Oncology Physician
  • Roswell, NM
  • NPI 1932187044
  Medicare reassignment NPD
• New Mexico Oncology Hematology Consultants, LTD.

  • Hematology & Oncology Physician
  • Albuquerque, NM
  • NPI 1164475232
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Masoud Khorsand-Sahbaie, MD PA

  dba Kymera Independent Physicians

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1194169011
  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1760452767
  NPD
• St. Vincent Hospital

  dba CHRISTUS St. Vincent Medical Oncologists

  • Medical Oncology Physician
  • Santa Fe, NM
  • NPI 1609105139
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1568424356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056996",
            "telephone_number": "505-913-8900",
            "fax_number": "505-913-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "JOHN",
        "middle_name": "CLAUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "license": "91-4",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "070527",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "D3140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Bob Autry, PH.D.
• Christina M Avila
• Josephine T. Bachicha, CASE MANAGER
• Badger Health Corp (Delnorte Home Medical)
• Badger Health Corp (The Medicine Shoppe Pharmacy)
• Sarah Rebecca Bales, LCSW
• Kortney Barber
• Charles Emmanuel Barkley, RPH
• Lindsay Barnett
• Mark H Bayliss, PA-C

• Hematology & Oncology Physician in Raton, NM
• Providers in Raton, NM by specialty
• Hematology & Oncology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.