JONATHON TYLER BACCUS (M.D.) – Internal Medicine Physician, NPI 1154700722

JONATHON TYLER BACCUS (M.D.) is a healthcare provider. based in Frisco, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD.36732 (AL). The NPI Number for JONATHON TYLER BACCUS (M.D.) is 1154700722

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JONATHON TYLER BACCUS (M.D.)
NPI
1154700722
Phone
Not provided
Address
7624 WARREN PKWY
Enumeration Date
28 May 2015
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2053481770
Graduation Year
2015 (11 years ago)
PAC ID
2365797172
Group Practice PAC ID
6103724489
Professional Enrollment ID
I20180619003683
Address ID
AL354017457TU850XXBLVD400

Contacts

Secure Messaging
baccus.jonathan@direct.uabmw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

2,215 INTERNAL MEDICINE in AL

Provider Addresses for JONATHON TYLER BACCUS (M.D.)

  • 7624 WARREN PKWY

    FRISCO, TX 750344158

    Phone:

    Type: Mailing

  • 915 MEDICAL CENTER DR

    BESSEMER, AL 350226025

    Phone: (205) 481-8664

    Fax: (205) 481-8665

    Type: Location

  • 833 PRINCETON AVE SW

    SUITE 200C

    BIRMINGHAM, AL 352111321

    Phone: (205) 592-1406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-06-19

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
I20180619003683IInternal MedicineALTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19975$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11849$0
99214Established patient office or other outpatient visit, 30-39 minutes9872$0
36415Insertion of needle into vein for collection of blood sample4537$0
80053Blood test, comprehensive group of blood chemicals4035$0
View full utilization report →

Insurance plans in this area (ZIP 75034)

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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: 6103724489View full group profile
NameSpecialtyState
Neurology, Internal MedicineAL
Family PracticeMS
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YNY
-AL
Family PracticeAL
Family PracticeAL
Endocrinology, Internal MedicineAL
Family PracticeAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JONATHON TYLER BACCUS (M.D.)?
JONATHON TYLER BACCUS (M.D.) — NPI 1154700722 — is the standard way to identify this listing.
Does CMS list JONATHON TYLER BACCUS (M.D.) as active?
Yes — JONATHON TYLER BACCUS (M.D.) is active in the NPI listing used on this page.
What is JONATHON TYLER BACCUS (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for JONATHON TYLER BACCUS (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does JONATHON TYLER BACCUS (M.D.) serve?
JONATHON TYLER BACCUS (M.D.)'s listing highlights Frisco, Texas; more addresses can appear in NPPES.
Why does JONATHON TYLER BACCUS (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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