CMS-1500 Box 24J / 33a • NPI
1396275434
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
130 WHITE SAGE AVE, DELTA, UT, 84624-8928
✓ 9-Digit EDI 837 ZIP+4 (84624-8928)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396275434 (JACOB DONALD BAILEY, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1396275434)
Medicare Beneficiaries
113
Total Billed Services
576
Distinct CPT/HCPCS Codes
40
Medicare Allowed Total
$27,009.50
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81003 | Automated urinalysis test | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 46 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 111 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alendronate Sodium Alendronate Sodium | 28 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 36 | 12 |
| Amoxicillin Amoxicillin | 13 | 12 |
| Atorvastatin Calcium Atorvastatin Calcium | 96 | 26 |
| Baclofen Baclofen | 13 | <11 |
| Celecoxib Celecoxib | 44 | <11 |
| Cephalexin Cephalexin | 25 | 12 |
| Clopidogrel Clopidogrel Bisulfate | 19 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396275434 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JACOB DONALD BAILEY, MD |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 130 WHITE SAGE AVE, DELTA, UT, 84624-8928 |
| Practice Telephone / Fax | Tel: (435) 864-2708 | Fax: (435) 864-2855 |
| Administrative Mailing Address | PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 |
| Enumeration & Last Sync | Enumerated: 2017-06-12 | CMS Record Updated: 2026-04-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in DELTA
🔒 Are you JACOB DONALD BAILEY, MD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JACOB DONALD BAILEY, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: UT | License: 7351942-1205 | Primary: Yes (Primary) |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: WY | License: 127-T2 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.