KIMBALL TYSON BAILEY DO
NPI 1073176400
Internal Medicine in Draper, UT

Q: What is Kimball Bailey's NPI number?

The NPI number for Kimball Bailey is 1073176400. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Q: What is Kimball Bailey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimball Bailey was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment

11724 S STATE ST, DRAPER, UT 84020(801) 965-3600 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2025, Aug 11, 2022, Apr 22, 2019 (3 updates tracked since 2019).

On this page

About Kimball Tyson Bailey Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBALL TYSON BAILEY DO (NPI 1073176400) is an individual internal medicine provider in Draper, Utah, licensed in Utah (12740511-1204) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073176400

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKIMBALL TYSON BAILEYCredential: DO

Location Address11724 S STATE STDraper, UT 84020-7163

Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600

Phone(801) 965-3600

Sole ProprietorYes

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2019

Enumeration DateApril 22, 2019

Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1073176400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 12740511-1204

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11724 S STATE ST, Draper, UT 84020

Open in Google Maps ↗

Secondary Practice Locations 2

Location 118701 N 67th AveGlendale, AZ 85308-7100 · Phone (623) 561-1000

Location 211333 S 1000 E Ste 100Sandy, UT 84094-5421 · Phone (801) 571-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimball Tyson Bailey Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42694010

PECOS Enrollment IDI20220825002092

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kimball Bailey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granger Medical Clinic PC

Same address

Family Medicine

11724 SOUTH STATE ST.
Draper, UT 84020

Reassigned Medicare billing, Utah enrollment
190 clinicians in this Medicare group

NPI 1174968051 (801) 965-3600

Utah Regional Hospitalists LLC

8.6 mi

Hospitalist

5505 S 900 E STE 240
Murray, UT 84117

Reassigned Medicare billing, Utah enrollment
271 clinicians in this Medicare group

NPI 1962821223 (844) 474-4019

Granger Medical Specialists LLC

12 mi

Clinic/Center

2965 W 3500 S
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
188 clinicians in this Medicare group

NPI 1376159368 (801) 965-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

185 services70 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services61 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

61 services61 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

58 services56 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

51 services51 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

30 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460044

Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County

Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460060

Location11925 South State StreetDraper, UT 84020 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN FURBER PA-C

Physician Assistant (Surgical)