MARGARET KATHLEEN BAILEY OD
NPI 1023463502
Optometrist in Birmingham, AL

Active since May 03, 2016PECOS Enrolled
87.57/100
CMS Quality Rating
1716 UNIVERSITY BLVD G080A, BIRMINGHAM, AL 35294(205) 975-2020(205) 934-6755 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Margaret Kathleen Bailey Od NPPES

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

MARGARET KATHLEEN BAILEY OD (NPI 1023463502) is an individual optometrist in Birmingham, Alabama, licensed in Alabama (R-252-TA-A97) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023463502
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARGARET KATHLEEN BAILEYCredential: OD
Location Address1716 UNIVERSITY BLVD G080ABirmingham, AL 35294-0010
Mailing Address1716 University Blvd G080aBirmingham, AL 35294-0010 · (205) 975-2020 · Fax (205) 934-6755
Fax(205) 934-6755
Sole ProprietorNo
Enumeration DateMay 3, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1023463502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · R-252-TA-A97
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1716 UNIVERSITY BLVD G080A, Birmingham, AL 35294

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Margaret Kathleen Bailey Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Margaret Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1716 UNIVERSITY BLVD, HPB G080A
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
Optometrist
3240 EDWARDS LAKE PKWY, SUITE 100
Birmingham, AL 35235
  • Reassigned Medicare billing, Alabama enrollment
  • 17 clinicians in this Medicare group

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 4

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
34 services30 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
20 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.65
Improvement Activities40
Cost59.04

Other Providers at the Same Location NPPES 8

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

Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294
Optometrist
1716 UNIVERSITY BLVD G080A
BIRMINGHAM, AL 35294

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 Margaret Bailey's NPI number?

The NPI number for Margaret Bailey is 1023463502. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Margaret Bailey located?

Margaret Bailey practices at 1716 University Blvd G080a, Birmingham, AL 35294. The listed phone number is (205) 975-2020.

What is Margaret Bailey's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Margaret Bailey enrolled in Medicare?

Yes. Margaret Bailey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Margaret Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Bailey reassigns Medicare benefits to 2 organizations: The University Of Alabama At Birmingham (Birmingham, AL) and Visionfirst Eye Center (Birmingham, AL). Each 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 Margaret Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Bailey accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama and 3 other insurers list Margaret 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.

When was this NPI record last updated?

The NPPES record for Margaret Bailey was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.