KOVIC SHANE BAILEY DO
NPI 1194467688
Family Medicine in Twin Falls, ID

Q: What is Kovic Bailey's NPI number?

The NPI number for Kovic Bailey is 1194467688. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Kovic Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kovic Bailey was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 13, 2022PECOS EnrolledAccepts Medicare Assignment

775 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-8000(208) 733-9402 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Apr 13, 2022 (2 updates tracked since 2022).

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About Kovic Shane Bailey Do NPPES

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

KOVIC SHANE BAILEY DO (NPI 1194467688) is an individual family medicine provider in Twin Falls, Idaho, licensed in Idaho (7771540) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1194467688

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKOVIC SHANE BAILEYCredential: DO

Location Address775 POLE LINE RD WTwin Falls, ID 83301-5814

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 814-8000

Fax(208) 733-9402

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 13, 2022

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1194467688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 7771540

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10080618 (TX)

775 POLE LINE RD W, Twin Falls, ID 83301

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Secondary Practice Location 1

Location 111937 US Highway 271Tyler, TX 75708-3154 · Phone (903) 877-7777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kovic Shane 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 ID2062899222

PECOS Enrollment IDI20250725002456

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.

Hospital Affiliations CMS Care Compare

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

DR. MITCHELL JACKSON MOFFITT M.D.

Pediatrics

775 POLE LINE RD W, SUITE 111
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8000

DR. RONALD WILLIAM BLAIR D.O.

Surgery

775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8400

JOHN A BAKER M.D.

Internal Medicine

775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8600

BLUE LAKES GASTROENTEROLOGY, PLLC

Internal Medicine (Gastroenterology)

775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8300

DANIEL G PREUCIL M.D.

Family Medicine

775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8000

BRUCE C MCCOMAS M.D.

Surgery

775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8400

PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL

Family Medicine

775 POLE LINE RD W, SUITE 105 & 111
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8000

HEATHER MERTEN KOHRING FNP-C

Nurse Practitioner

775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301

Twin Falls County (208) 814-8300

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 Kovic Bailey's NPI number?

The NPI number for Kovic Bailey is 1194467688. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Kovic Bailey located?

Kovic Bailey practices at 775 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 814-8000.

What is Kovic Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kovic Bailey enrolled in Medicare?

Yes. Kovic Bailey 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.

What insurance does Kovic Bailey accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kovic Bailey 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 Kovic Bailey affiliated with any hospitals?

According to CMS data, Kovic Bailey is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kovic Bailey was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.