Joel Kevin Bagley II, MD
Individual provider Active NPI Surgery Physician · Salt Lake City, UT
NPI 1679952972 · NPPES record last updated May 18, 2026
Key facts
- NPI
- 1679952972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- DR.0067097 (CO)
- Practice address
- 30 N 1900 E # 1C412
Salt Lake City, UT 84132-0002 - Phone
- (801) 581-2401
- NPI assigned
- May 20, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.14 of 100
- Quality
- 97.98
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 62.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006001925 | CO | Practitioner - General Surgery | 2860771953 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health System, Inc. | Current |
Accepting new patients | |
| Southwest Health System, Inc. | Current |
Accepting new patients | |
| Southwest Health System Inc | Surgery | Current | Accepting new patients |
Locations
1311 N Mildred Rd
Ste A
Cortez, CO 81321
Phone (970) 564-2681
1311 N Mildred Rd
#A
Cortez, CO 81321
Phone (970) 565-8556
1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0067097 | CO | Yes |
Addresses
Primary practice location
30 N 1900 E # 1C412
Salt Lake City, UT 84132-0002
Mailing address
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 564-2152
Other providers in Salt Lake City, UT
- Philip Luke Baese
- Cherish Maris Baga-an
- Susan Kay Baggaley
- Yasaman Naemi Baghshomali
- Ana Bagley
- Kimra Bagley
- Lisa Dunn Bagley
- Robert Bagley
- Sandra W Bagley
- Tricia Bagley
All providers in Salt Lake City, UT · Surgery Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.