JACOB LEE BAALMAN M.D.
NPI 1831537570
Emergency Medicine in Blue Eye, MO
About Jacob Lee Baalman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB LEE BAALMAN M.D. (NPI 1831537570) is an individual emergency medicine provider in Blue Eye, Missouri, licensed in Missouri (2016013813) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Center Branson, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jacob Lee Baalman 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.
Medicare Billing Reassignments
13Medicare enrollment records show Jacob Baalman reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hollister, MO 65672
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 clinicians in this Medicare group
Branson, MO 65616
- Reassigned Medicare billing, Missouri enrollment
- 143 clinicians in this Medicare group
Berryville, AR 72616
- Reassigned Medicare billing, Arkansas enrollment
- 90 clinicians in this Medicare group
Harrison, AR 72601
- Reassigned Medicare billing, Arkansas enrollment
- 46 clinicians in this Medicare group
Cassville, MO 65625
- Reassigned Medicare billing, Missouri enrollment
- 151 clinicians in this Medicare group
Aurora, MO 65605
- Reassigned Medicare billing, Missouri enrollment
- 171 clinicians in this Medicare group
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1669687125 (Missouri)
- 163 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 169 clinicians in this Medicare group
Gainesville, MO 65655
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1831115641 (Missouri)
- 338 clinicians in this Medicare group
Carthage, MO 64836
- Reassigned Medicare billing, Missouri enrollment
- 153 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cox Medical Center Branson
Acute Care Hospitals · Branson, MOLake Regional Health System
Acute Care Hospitals · Osage Beach, MOMercy Hospital Aurora
Critical Access Hospitals · Aurora, MOCox Monett Hospital
Critical Access Hospitals · Monett, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Jacob Baalman's NPI number?
The NPI number for Jacob Baalman is 1831537570. It was assigned to this individual provider in the NPPES registry on June 4, 2013.
Where is Jacob Baalman located?
Jacob Baalman practices at 94 Blue Nile Ln, Blue Eye, MO 65611. The listed phone number is (316) 641-0561.
What is Jacob Baalman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jacob Baalman enrolled in Medicare?
Yes. Jacob Baalman 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 Jacob Baalman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Baalman reassigns Medicare benefits to 13 organizations: Mercy Clinic Springfield Communities (Hollister, MO), Skaggs Community Hospital Association (Branson, MO), Mercy Hospital Berryville (Berryville, AR), North Arkansas Regional Medical Center (Harrison, AR), Mercy Hospital Cassville (Cassville, MO) and 8 more organizations, listed in the Medicare section above. 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 Jacob Baalman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Baalman accept?
Health plans from Oscar Insurance Company list Jacob Baalman 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 Jacob Baalman affiliated with any hospitals?
According to CMS data, Jacob Baalman is affiliated with Cox Medical Center Branson, Lake Regional Health System, Mercy Hospital Aurora and Cox Monett Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Baalman was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jacob Lee Baalman, M.D. · NPI 1831537570
Emergency Medicine physician in Blue Eye, Missouri. Individual provider, active in the CMS NPPES registry since June 4, 2013.
## Identity
- **NPI:** 1831537570 (Entity type: Individual)
- **Enumerated:** June 4, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2016013813 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 94 BLUE NILE LN, Blue Eye, MO 65611-7384
- **Phone:** (316) 641-0561 · **Fax:** (252) 744-4125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Springfield Communities (NPI 1053350454, Hollister, MO); Skaggs Community Hospital Association (NPI 1346602646, Branson, MO); Mercy Hospital Berryville (NPI 1457306326, Berryville, AR); North Arkansas Regional Medical Center (NPI 1801067657, Harrison, AR); Mercy Hospital Cassville (NPI 1285676932, Cassville, MO); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2013
## Record status
- **NPPES last updated:** February 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1831537570) · Data from the CMS NPPES public registry.