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DR. DUSTIN LEE BAYLOR M.D.
NPI 1376746925
Family Medicine in Enid, OK

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
16.52/100
CMS Quality Rating
2821 N VAN BUREN, SUITE B, ENID, OK 73701(580) 977-1834(580) 977-1806 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2017, Jun 15, 2016, Jan 22, 2016 (3 updates tracked since 2016).

About Dr. Dustin Lee Baylor M.d. NPPES

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

DR. DUSTIN LEE BAYLOR M.D. (NPI 1376746925) is an individual family medicine provider in Enid, Oklahoma, licensed in Oklahoma (24652) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Bass Baptist Health Center, and maintains a secondary practice location in Enid.

NPPES Registry Identity

NPI1376746925
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DUSTIN LEE BAYLORCredential: M.D.
Location Address2821 N VAN BUREN, SUITE BEnid, OK 73701-7273
Mailing Address5300 N Independence Ave, 280Oklahoma City, OK 73112-5556 · (580) 977-1834 · Fax (580) 977-1806
Phone(580) 977-1834
Fax(580) 977-1806
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2005
Enumeration DateJune 8, 2007
Last NPPES UpdateFebruary 8, 20183 updates tracked since enumeration
✔ NPI 1376746925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 24652
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.
2821 N VAN BUREN, Enid, OK 73701
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Secondary Practice Location 1

Location 12821 N Van Buren, Suite BEnid, OK 73701-7273 · Phone (580) 977-1834 · Fax (580) 977-1806

Other Identifiers 1

Medicaid200194480AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.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

Dr. Dustin Lee Baylor 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 ID5597826214
PECOS Enrollment IDI20081212000285
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.

Areas of Expertise CMS Part B claims 9

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.
521 services316 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.
311 services311 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
147 services122 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.
36 services36 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370016
Location600 South MonroeEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Fairview Regional Medical Center Authority

Critical Access Hospitals · Fairview, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371329
Location523 East State RoadFairview, OK 73737 · Major County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

16.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost55.09

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers77 claims175 services$5.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers28 claims31 services$1.00 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers14 claims14 services$40.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers17 claims17 services$86.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims39 services$33.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$62.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Dustin Baylor's NPI number?

The NPI number for Dustin Baylor is 1376746925. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Dustin Baylor located?

Dustin Baylor practices at 2821 N Van Buren Suite B, Enid, OK 73701. The listed phone number is (580) 977-1834.

What is Dustin Baylor's specialty?

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

Is Dustin Baylor enrolled in Medicare?

Yes. Dustin Baylor 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 Dustin Baylor accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and UnitedHealthcare list Dustin Baylor 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 Dustin Baylor affiliated with any hospitals?

According to CMS data, Dustin Baylor is affiliated with Integris Bass Baptist Health Center, St Mary's Regional Medical Center and Fairview Regional Medical Center Authority.

When was this NPI record last updated?

The NPPES record for Dustin Baylor was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.