NATHANAEL BAILEY
NPI 1003013814
Pathology - Anatomic Pathology & Clinical Pathology in Ann Arbor, MI


Quality Rating: 87.24 out of 100 score

NPI Status: Active since June 27, 2007

Contact Information

1500 E MEDICAL CENTER DR
2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI
ZIP 48109
Phone: (800) 862-7284

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  • Individual
  • Male
  • Years of Experience 19
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About NATHANAEL BAILEY

Nathanael Bailey is a provider established in Ann Arbor, Michigan and his medical specialization is Pathology with a focus in anatomic pathology & clinical pathology with more than 19 years of experience. He graduated from West Virginia University School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1003013814 assigned on June 2007. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301095848 (MI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI1003013814
Provider NameNATHANAEL BAILEY
Location Address1500 E MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY ANN ARBOR, MI 48109
Location Phone(800) 862-7284
Mailing Address3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108
GenderMale
Entity TypeIndividual
Medical School NameWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?No
Enumeration Date06-27-2007
Last Update Date06-15-2021
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Nathanael Bailey is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.24, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.94 for a new patient copayment and $26.81 for an established patient copayment.

Location Map

Mailing Address

3621 S STATE ST
700 KMS PLACE
ANN ARBOR, MI
ZIP 48108

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code207ZP0102X
TypeAllopathic & Osteopathic Physicians
License No.4301095848
License StateMI
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

PECOS Enrollment and Medicare Participation Status

Nathanael Bailey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012194491

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160902000941

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48109 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.76
  • Minimum New Patient Price $60.64
  • Maximum New Patient Price $184.65
  • Average New Patient Copayment $34.94
  • Minimum New Patient Copayment $15.16
  • Maximum New Patient Copayment $46.16

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.24
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $150
  • Average Established Patient Copayment $26.81
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $37.5

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 87.24 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 83.89

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 87

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 539

    Special stained specimen slides to examine tissue (HCPCS:88341)

  • 89

    Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

  • 77

    Tissue or cell analysis by immunologic technique (HCPCS:88342)

  • 51

    Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nathanael Bailey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UPMC ALTOONA620 HOWARD AVENUE
ALTOONA, PA 16601
(814) 889-2011Acute Care Hospitals
MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM300 HALKET STREET
PITTSBURGH, PA 15213
(412) 641-4010Acute Care Hospitals
UPMC PRESBYTERIAN SHADYSIDE200 LOTHROP STREET
PITTSBURGH, PA 15213
(412) 647-8788Acute Care Hospitals

Reviews for NATHANAEL BAILEY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003013814
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 8 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003013814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669475836DR. TAMI L. REMINGTON PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
(734) 936-5023
1275536401DR. JAMES G STEVENSON PHARMD
Individual
Pharmacist1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
(734) 647-7794
1508864315DR. SALLY K GUTHRIE PHARM.D.
Individual
Pharmacist (Psychiatric)1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
(734) 647-2350
1356343370 ANDREA RAE BOTTERILL PA
Individual
Physician Assistant1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP C
ANN ARBOR, MI 48109
(734) 936-5780
1871586719DR. KARLA AURORA BLACKWOOD MD
Individual
Psychiatry & Neurology (Psychiatry)1500 E MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
(734) 996-4747
1871586479 DEBORAH LOUISE VIHER NP
Individual
Nurse Practitioner1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
(734) 647-5944
1740276633DR. HOLLY ELAINE ROSS M.D.
Individual
General Practice1500 E MEDICAL CENTER DR L2003 WOMEN'S, BOX 0239
ANN ARBOR, MI 48109
(734) 615-2690
1265420228MS. DEBRA BANCROFT RIZZO F.N.P.-C
Individual
Nurse Practitioner1500 E MEDICAL CENTER DR 3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
(734) 647-5900
1992794481 WILLIAM CHARLES STACEY M.D., PHD
Individual
Psychiatry & Neurology (Neurology)1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP C
ANN ARBOR, MI 48109
(734) 936-9010
1104809623DR. ELIZABETH KATHERINE SPELIOTES MD PHD
Individual
Internal Medicine (Gastroenterology)1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
(734) 647-5944
1114903549DR. ROBERT ADAM LIOTTA M.D.
Individual
Radiology (Diagnostic Radiology)1500 E MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 48109
(734) 936-4566
1114998580 LISA A HARRIS SPINNER CRNA
Individual
Nurse Anesthetist, Certified Registered1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI 48109
(734) 763-6295
1801863741 SHANNON LEE MITCHELL CRNA
Individual
Nurse Anesthetist, Certified Registered1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
(734) 936-4280
1841267788 CHRISTINA BUSH CRNA
Individual
Nurse Anesthetist, Certified Registered1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
(734) 936-4280
1922076215 MARLENA STANKIEWICZ CRNA
Individual
Nurse Anesthetist, Certified Registered1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
(734) 936-4280
1497724835 DENISE R BAUER N.P.
Individual
Nurse Practitioner1500 E MEDICAL CENTER DR 7TH FLOOR MOTT RM F7830
ANN ARBOR, MI 48109
(734) 763-7354
1972564458MRS. CARRIE LEE LINT RN ACNP
Individual
Nurse Practitioner1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI 48109
(734) 936-7010
1851353932MRS. TAMARA MANGAN GHORMLEY NP
Individual
Nurse Practitioner (Family)1500 E MEDICAL CENTER DR B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI 48109
(734) 936-6000
1568428951 ELENA MARTINEZ STOFFEL MD MPH
Individual
Internal Medicine (Gastroenterology)1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
(734) 647-5944
1942267307 JOHN O'NEILL CRNA
Individual
Nurse Anesthetist, Certified Registered1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
(734) 936-4280

Frequently Asked Questions

What is Nathanael Bailey NPI number?

The NPI number assigned to this healthcare provider is 1003013814, enumerated in the NPI registry as an "individual" on June 27, 2007

Where is the provider located?

The provider is located at 1500 E Medical Center Dr 2nd Floor University Hospital Recp Pathology Ann Arbor, Mi 48109 and the phone number is (800) 862-7284

What is the provider specialty code?

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

How many years of experience does Nathanael Bailey have?

The provider has more than 19 years of experience. He graduated from West Virginia University School Of Medicine in 2005.

Is Nathanael Bailey registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Nathanael Bailey Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Nathanael Bailey ?

Medicare beneficiaries should expect a typical cost of $139.76 with an average copayment of $34.94 for new patient appointments. Established patients should expect a typical charge of $107.24 and an average copayment of 26.81. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Nathanael Bailey ?

The most common procedures or services performed by this practitioner are: Special stained specimen slides to examine tissue, Pathology examination of tissue using a microscope, intermediate complexity, Tissue or cell analysis by immunologic technique and Special stained specimen slides to examine tissue including interpretation and report.

Is Nathanael Bailey affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): UPMC ALTOONA, MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM and UPMC PRESBYTERIAN SHADYSIDE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on June 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.