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DR. JARED DAVID FAIRBANKS D.O.
NPI 1922307974
Family Medicine in Henderson, NV

Active since March 16, 2011PECOS Enrolled
28.85/100
CMS Quality Rating
1301 W SUNSET RD STE 110, HENDERSON, NV 89014(702) 968-3275(702) 968-6154 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2024, Aug 7, 2023 (2 updates tracked since 2023).

About Dr. Jared David Fairbanks D.o. NPPES

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

DR. JARED DAVID FAIRBANKS D.O. (NPI 1922307974) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (DO1866) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Las Vegas.

NPPES Registry Identity

NPI1922307974
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JARED DAVID FAIRBANKSCredential: D.O.
Location Address1301 W SUNSET RD STE 110Henderson, NV 89014-6607
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Phone(702) 968-3275
Fax(702) 968-6154
Sole ProprietorNo
Enumeration DateMarch 16, 2011
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
✔ NPI 1922307974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NV · DO1866✔ Licensed in AZ · 006010
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.
1301 W SUNSET RD STE 110, Henderson, NV 89014
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Secondary Practice Location 1

Location 11815 E Lake Mead Blvd, Ste 100North Las Vegas, NV 89030-7187 · Phone (702) 657-5606 · Fax (702) 657-1583

Other Identifiers 2

Medicaid1922307974NV
OtherDO1866NV · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared David Fairbanks D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jared Fairbanks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Holdings Nevada Inc
2.9 mi
Internal Medicine
595 W LAKE MEAD PKWY
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • 521 clinicians in this Medicare group
NPI 1245997279 (702) 566-5500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

28.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities0
Cost22.85

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
20%194 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
61%2,388 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 34% · 491 patients
Patients tobacco: 17% · 41 patients
27%491 patients2/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
51%491 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
50%26 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 122 patients
12%122 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers12 claims24 services$4.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Clinic/Center (Primary Care)
1301 W SUNSET RD STE 110
HENDERSON, NV 89014
Clark County (029) 683-2757

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 Jared Fairbanks's NPI number?

The NPI number for Jared Fairbanks is 1922307974. It was assigned to this individual provider in the NPPES registry on March 16, 2011.

Where is Jared Fairbanks located?

Jared Fairbanks practices at 1301 W Sunset Rd Ste 110, Henderson, NV 89014. The listed phone number is (702) 968-3275.

What is Jared Fairbanks's specialty?

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

Is Jared Fairbanks enrolled in Medicare?

Yes. Jared Fairbanks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Fairbanks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Fairbanks reassigns Medicare benefits to Intermountain Medical Holdings Nevada Inc (Henderson, NV). The 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 Jared Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jared Fairbanks was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.