DR. OSCAR V. BAILON M.D.
NPI 1164649018
Internal Medicine - Cardiovascular Disease in Yakima, WA

Q: What is Oscar Bailon's NPI number?

The NPI number for Oscar Bailon is 1164649018. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Oscar Bailon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Oscar Bailon was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 20, 2007PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

7303 HEATHERS WAY, YAKIMA, WA 98903(201) 595-9551 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2020, Feb 27, 2018 (2 updates tracked since 2018).

On this page

About Dr. Oscar V. Bailon M.d. NPPES

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

DR. OSCAR V. BAILON M.D. (NPI 1164649018) is an individual cardiovascular disease provider in Yakima, Washington, licensed in Washington (MD60306715) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164649018

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. OSCAR V. BAILONCredential: M.D.

Location Address7303 HEATHERS WAYYakima, WA 98903-9281

Mailing Address7303 Heathers WayYakima, WA 98903-9281 · (201) 595-9551 · Fax (509) 574-4481

Phone(201) 595-9551

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateApril 20, 2007

Last NPPES UpdateFebruary 9, 20202 updates tracked since enumeration

✔ NPI 1164649018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WA · MD60306715

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

7303 HEATHERS WAY, Yakima, WA 98903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.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

Dr. Oscar V. Bailon M.d. 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 ID6901086743

PECOS Enrollment IDI20121210000415, I20160518002732

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 Oscar Bailon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunnyside Community Hospital Association

2.1 mi

Clinic/Center

6201 SUMMITVIEW AVE STE 106
Yakima, WA 98908

Reassigned Medicare billing, Washington enrollment
132 clinicians in this Medicare group

NPI 1366951576 (509) 454-6300

Shc Medical Center Toppenish

5.3 mi

Rural Health

1420 AHTANUM RIDGE DR
Union Gap, WA 98903

Reassigned Medicare billing, Washington enrollment
80 clinicians in this Medicare group

NPI 1013492784 (509) 454-7700

The Association Of University Physicians

108 mi

Anesthesiology

701 5TH AVE, SUITE 700
Seattle, WA 98104

Reassigned Medicare billing, Washington enrollment
4,364 clinicians in this Medicare group

NPI 1023041159 (206) 543-6420

Monument Health Network, Inc.

821 mi

Family Medicine

209 RAMSLAND ST
Buffalo, SD 57720

Reassigned Medicare billing, South Dakota enrollment
321 clinicians in this Medicare group

NPI 1073992004 (605) 375-3744

Monument Health Rapid City Hospital, Inc.

823 mi

End-Stage Renal Disease (ESRD) Treatment

132 YANKEE ST
Spearfish, SD 57783

Reassigned Medicare billing, South Dakota enrollment
831 clinicians in this Medicare group

NPI 1255415246 (605) 644-9000

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 35

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,515 services1,137 patients

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.

548 services346 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

357 services349 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

210 services204 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

176 services169 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

151 services148 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

145 services76 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

115 services114 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

109 services56 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

93 services93 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

90 services88 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

87 services86 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

80 services80 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

77 services77 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

76 services71 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

67 services67 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

65 services63 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

64 services63 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

58 services54 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

51 services45 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

49 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services48 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

46 services44 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

36 services36 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

32 services32 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

29 services27 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

28 services27 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

26 services26 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

20 services19 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services18 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

17 services17 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

12 services12 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring 93270

An Electrocardiogram (ECG) is a test that monitors your heart's electrical activity for up to 30 days. It helps identify irregular heartbeats or rhythms. You'll wear a small device that records your heart activity, especially when symptoms like chest pain or palpitations occur.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number500008

Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County

Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501339

Location101 North Main StreetCoupeville, WA 98239 · Island County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98903 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oscar Bailon's NPI number?

The NPI number for Oscar Bailon is 1164649018. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Oscar Bailon located?

Oscar Bailon practices at 7303 Heathers Way, Yakima, WA 98903. The listed phone number is (201) 595-9551.

What is Oscar Bailon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Oscar Bailon enrolled in Medicare?

Yes. Oscar Bailon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Oscar Bailon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oscar Bailon reassigns Medicare benefits to 5 organizations: Sunnyside Community Hospital Association (Yakima, WA), Shc Medical Center Toppenish (Union Gap, WA), The Association Of University Physicians (Seattle, WA), Monument Health Network, Inc. (Buffalo, SD) and Monument Health Rapid City Hospital, Inc. (Spearfish, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oscar Bailon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oscar Bailon accept?

Health plans from Avera Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan, Sanford Health Plan and Wellmark of South Dakota, Inc. list Oscar Bailon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Oscar Bailon affiliated with any hospitals?

According to CMS data, Oscar Bailon is affiliated with Monument Health Rapid City Hospital, University Of Washington Medical Ctr, Swedish Medical Center and Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Oscar Bailon was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.