Oscar V. Bailon, M.D.
NPI 1164649018ActiveIndividual· Internal Medicine, Cardiovascular Disease· Yakima, WA
Internal Medicine, Cardiovascular Disease (M.D.) with The Association of University Physicians and 1 other group, practicing in Yakima, Washington. Their prescriptions cost Medicare Part D more than their services did: $701,883 for 3,283 claims, against $160,208 paid for services in 2024. Edwards Lifesciences Corporation reported $255.87 in payments in 2024, mostly food and beverage. Lists Monument Health Rapid City Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1164649018 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2007 |
| Last updated in NPPES | Feb 9, 2020 |
| Certified by provider | Feb 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | MD60306715 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (SD); Practitioner - Cardiovascular Disease (Cardiology) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,233 |
|---|---|
| Services billed | 4,640 across 60 procedure codes |
| Paid by Medicare | $160,208 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,283 · 8,653 30-day fills |
|---|---|
| Patients | 446 |
| Total drug cost | $701,883 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- The Association of University PhysiciansSeattle, WA · 3,535 clinicians
- Monument Health Rapid City Hospital IncRapid City, SD · 564 clinicians
Hospital affiliations
- Monument Health Rapid City HospitalRapid City, SD
- Swedish Medical CenterSeattle, WA
- University of Washington Medical CtrSeattle, WA
- Whidbeyhealth Medical CenterCoupeville, WA
Industry payments (Open Payments)
- 2024$255.87 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Edwards Lifesciences Corporation | $255.87 | 2 |
What the 2024 payments were for
- Food and Beverage$255.87 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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