DR. JACK RYAN BAGLEY (M.D.) – Radiation Oncology Physician, NPI 1225355670

DR. JACK RYAN BAGLEY (M.D.) is a healthcare provider. based in Grand junction, Colorado. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0055700 (CO). The NPI Number for DR. JACK RYAN BAGLEY (M.D.) is 1225355670

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK RYAN BAGLEY (M.D.)
NPI
1225355670
Phone
(970) 256-6322
Address
PO BOX 1687
Enumeration Date
26 April 2010
Last Update Date
24 November 2015

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9702543180
Graduation Year
2010 (16 years ago)
PAC ID
5395048672
Group Practice PAC ID
3971491887
Professional Enrollment ID
I20160120001242
Address ID
CO815051443GR2596XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

131 RADIATION ONCOLOGY in CO

Provider Addresses for DR. JACK RYAN BAGLEY (M.D.)

  • PO BOX 1687

    GRAND JUNCTION, CO 815021687

    Phone: (970) 256-6322

    Fax: (970) 263-2691

    Type: Mailing

  • 2596 F RD

    GRAND JUNCTION, CO 815051443

    Phone: (970) 254-3180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($46).

Total Amount

$132

General + Research + Ownership

Payments

6

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160120001242IRadiation OncologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields52726$0
77300Calculation of radiation therapy dose14241$0
77427Radiation treatment management, 5 treatment sessions13237$0
77334Design and construction of complex radiation treatment device9947$0
99213Established patient office or other outpatient visit, 20-29 minutes6148$0
View full utilization report →

Insurance plans in this area (ZIP 81502)

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Provider's Procedures

DR. JACK RYAN BAGLEY (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYCO77300Calculation of radiation therapy dose6118
RADIATION ONCOLOGYCO77427Radiation treatment management, 5 treatments6922

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971491887View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. JACK RYAN BAGLEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1225355670 for DR. JACK RYAN BAGLEY (M.D.).
Quick check: is DR. JACK RYAN BAGLEY (M.D.) active?
Public NPPES data shows DR. JACK RYAN BAGLEY (M.D.) with an active NPI status right now.
What type of care does DR. JACK RYAN BAGLEY (M.D.) provide?
DR. JACK RYAN BAGLEY (M.D.)'s profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JACK RYAN BAGLEY (M.D.) in Grand Junction, Colorado?
For routing, start with Grand Junction, Colorado for DR. JACK RYAN BAGLEY (M.D.), then verify phone and hours locally.
Can I export DR. JACK RYAN BAGLEY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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