DR. JUSTIN ALAN BACON (DO) – Emergency Medicine Physician, NPI 1205221926
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JUSTIN ALAN BACON (DO)
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 984311000
Phone: (253) 968-2997
Type: Location
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (253) 968-2997
Type: Mailing
210 MEDICAL PAVILION DR
RAEFORD, NC 283769111
Phone: (910) 904-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($131).
Total Amount
$165
General + Research + Ownership
Payments
4
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BioXcel Therapeutics, Inc. | $131 |
| AstraZeneca Pharmaceuticals LP | $18 |
| CSL Behring | $16 |
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: 2022-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190417001807 | I | Emergency Medicine | NC | TBD |
| I20220128001726 | I | Emergency Medicine | GA | TBD |
| I20221205003365 | I | Emergency Medicine | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 362 | 343 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 227 | 212 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 123 | 122 | $0 |
| 99291 | Critical care, first 30-74 minutes | 59 | 58 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Critical Care (Intensivists), Internal Medicine | NC | |
| Emergency Medicine | NC | |
| Emergency Medicine | GA | |
| Emergency Medicine | NC | |
| Emergency Medicine | NC | |
| Nurse Practitioner | NC | |
| - | NC | |
| Emergency Medicine | MA | |
| Nurse Practitioner | NC | |
| Emergency Medicine | KY |
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