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DR. JOANNA MARIE ADKINS BAILEY M.D.
NPI 1013204734
Family Medicine in Pineville, WV

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
585 APPALACHIAN HIGHWAY, PINEVILLE, WV 24874(304) 598-6900(304) 732-7098 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joanna Marie Adkins Bailey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOANNA MARIE ADKINS BAILEY M.D. (NPI 1013204734) is an individual family medicine provider in Pineville, West Virginia, licensed in West Virginia (25206) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1013204734
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOANNA MARIE ADKINS BAILEYCredential: M.D.
Location Address585 APPALACHIAN HIGHWAYPineville, WV 24874-0430
Mailing AddressPo Box 430Pineville, WV 24874-0430 · (304) 732-7069 · Fax (304) 732-7098
Phone(304) 598-6900
Fax(304) 732-7098
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2011
Enumeration DateJuly 1, 2011
Last NPPES UpdateOctober 30, 2014
✔ NPI 1013204734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 25206
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
585 APPALACHIAN HIGHWAY, Pineville, WV 24874
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Other Names 1

Former Name (1)Dr. Joanna Marie Adkins Md

Other Identifiers 3

Medicare PINWV4546AWV
Medicare PINWV4546CWV
Medicare PINWV4546BWV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joanna Marie Adkins Bailey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173743671
PECOS Enrollment IDI20141006000700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joanna Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tug River Health Association, Inc
10 mi
Federally Qualified Health Center (FQHC)
US RT 52 MAIN STREET
Gary, WV 24836
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1295033009 (West Virginia), NPI 1639842818 (West Virginia)
  • 29 clinicians in this Medicare group
NPI 1174501068 (304) 448-2101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
112 services69 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
52 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Welch Community Hospital

Acute Care Hospitals · Welch, WV
OwnershipGovernment - State
CMS Certification Number510086
Location454 Mcdowell StreetWelch, WV 24801 · Mc Dowell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24874 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers28 claims59 services$3.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$21.26 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$112.78 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TUG RIVER HEALTH ASSOCIATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
585 APPALACHIAN HIGHWAY
PINEVILLE, WV 24874
Wyoming County (304) 732-7069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joanna Bailey's NPI number?

The NPI number for Joanna Bailey is 1013204734. It was assigned to this individual provider in the NPPES registry on July 1, 2011. The provider is also known as Dr. Joanna Marie Adkins MD.

Where is Joanna Bailey located?

Joanna Bailey practices at 585 Appalachian Highway, Pineville, WV 24874. The listed phone number is (304) 598-6900.

What is Joanna Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joanna Bailey enrolled in Medicare?

Yes. Joanna Bailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Joanna Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Bailey reassigns Medicare benefits to Tug River Health Association, Inc (Gary, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joanna Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joanna Bailey accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Joanna Bailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joanna Bailey affiliated with any hospitals?

According to CMS data, Joanna Bailey is affiliated with Princeton Community Hospital, Raleigh General Hospital and Welch Community Hospital.

When was this NPI record last updated?

The NPPES record for Joanna Bailey was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.