NATHANAEL BAILEY NPI 1003013814
Pathology - Anatomic Pathology & Clinical Pathology in Ann Arbor, MI
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 18 years of experience. He graduated from West Virginia University School Of Medicine in 2005. The NPI number of this provider is 1003013814 and was 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 2 years ago.
| NPI | 1003013814 |
| Provider Name | NATHANAEL BAILEY |
| Location Address | 1500 E MEDICAL CENTER DR 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY ANN ARBOR, MI 48109 |
| Location Phone | (800) 862-7284 |
| Mailing Address | 3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-27-2007 |
| Last Update Date | 06-15-2021 |
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.
Nathanael Bailey is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94, 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.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207ZP0102X |
| Classification | Pathology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Anatomic Pathology & Clinical Pathology |
| License No. | 4301095848 |
| License State | MI |
| Taxonomy Description | A 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. |
Business Address
1500 E MEDICAL CENTER DR
2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI
ZIP 48109
Phone: (800) 862-7284
Mailing Address
3621 S STATE ST
700 KMS PLACE
ANN ARBOR, MI
ZIP 48108
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7012194491 |
| PECOS Enrollment ID | I20160902000941 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $60.64 | $184.65 | $139.76 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.16 | $46.16 | $34.94 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.56 | $150 | $107.24 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.64 | $37.5 | $26.81 |
* The physician office visit costs information is obtained by Medicare's 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 Medicare's 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.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 92.9 | |
|
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. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
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. |
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| Improvement Activities | 15% | 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 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. |
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| Cost | 20% | 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. |
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| MIPS Final Score | - | 94 | |
| 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. | |||
Clinician Utilization
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 Medicare specialty, excluding evaluation and management codes.
- 323Special stained specimen slides to examine tissue (HCPCS:88341)
- 119Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- 81Tissue or cell analysis by immunologic technique (HCPCS:88342)
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 3 | 8 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 6 | 8 | 2 | |
| 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 = 4 | 4 | ||||||||
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 |
|---|---|---|---|
| 1669475836 | DR. TAMI L. REMINGTON PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-5023 |
| 1275536401 | DR. JAMES G STEVENSON PHARMD Individual | Pharmacist | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 647-7794 |
| 1508864315 | DR. 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 Assistant | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP C ANN ARBOR, MI 48109 (734) 936-5780 |
| 1871586719 | DR. 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 Practitioner | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
| 1740276633 | DR. HOLLY ELAINE ROSS M.D. Individual | General Practice | 1500 E MEDICAL CENTER DR L2003 WOMEN'S, BOX 0239 ANN ARBOR, MI 48109 (734) 615-2690 |
| 1265420228 | MS. DEBRA BANCROFT RIZZO F.N.P.-C Individual | Nurse Practitioner | 1500 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 |
| 1104809623 | DR. 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 |
| 1114903549 | DR. 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 Registered | 1500 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 Registered | 1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL ANN ARBOR, MI 48109 (734) 936-4280 |
| 1841267788 | CHRISTINA BUSH CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4280 |
| 1922076215 | MARLENA STANKIEWICZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL ANN ARBOR, MI 48109 (734) 936-4280 |
| 1497724835 | DENISE R BAUER N.P. Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 7TH FLOOR MOTT RM F7830 ANN ARBOR, MI 48109 (734) 763-7354 |
| 1972564458 | MRS. CARRIE LEE LINT RN ACNP Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP G ANN ARBOR, MI 48109 (734) 936-7010 |
| 1851353932 | MRS. 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 Registered | 1500 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, registered as an "individual" on June 27, 2007
Where is Nathanael Bailey 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
Which is Nathanael Bailey specialty?
The provider's speciality is Pathology with a focus in Anatomic Pathology & Clinical Pathology
How many years of experience does Nathanael Bailey have?
The provider has more than 18 years of experience. He graduated from West Virginia University School Of Medicine in 2005.
Is Nathanael Bailey registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
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 and Tissue or cell analysis by immunologic technique.
How do I update my NPI information?
The NPI record of Nathanael Bailey 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]
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