DERRICK A BAILEY MD
NPI 1053508945
Internal Medicine in Plainville, CT

Active since September 25, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
240 EAST ST, PLAINVILLE, CT 06062(860) 747-4541(860) 793-1218 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick A Bailey Md NPPES

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

DERRICK A BAILEY MD (NPI 1053508945) is an individual internal medicine provider in Plainville, Connecticut, licensed in Connecticut (23594) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1979).

NPPES Registry Identity

NPI1053508945
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDERRICK A BAILEYCredential: MD
Location Address240 EAST STPlainville, CT 06062-2935
Mailing Address1900seport St Lucie BlvdPort Saint Lucie, FL 34952-5554 · (772) 335-2614
Fax(860) 793-1218
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1979
Enumeration DateSeptember 25, 2007
Last NPPES UpdateOctober 9, 2015
NPI 1053508945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 23594
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

240 EAST ST, Plainville, CT 06062

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derrick A Bailey Md 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 ID8123114980
PECOS Enrollment IDI20151103002895
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.

Areas of Expertise CMS Part B claims 14

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 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.
270 services242 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
242 services242 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.
176 services163 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
143 services143 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.
133 services121 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
129 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Emergency Medicine
240 EAST ST
PLAINVILLE, CT 06062
Internal Medicine
240 EAST ST
PLAINVILLE, CT 06062
Internal Medicine
240 EAST ST
PLAINVILLE, CT 06062
Clinic/Center (Urgent Care)
240 EAST ST
PLAINVILLE, CT 06062
Physical Therapist
240 EAST ST, SELECT PHYSICAL THERAPY
PLAINVILLE, CT 06062
Specialist
240 EAST ST
PLAINVILLE, CT 06062
Clinic/Center (Urgent Care)
240 EAST ST
PLAINVILLE, CT 06062
Physician Assistant (Medical)
240 EAST ST
PLAINVILLE, CT 06062

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 Derrick Bailey's NPI number?

The NPI number for Derrick Bailey is 1053508945. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Derrick Bailey located?

Derrick Bailey practices at 240 East St, Plainville, CT 06062. The listed phone number is (860) 747-4541.

What is Derrick Bailey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derrick Bailey enrolled in Medicare?

Yes. Derrick 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.

What insurance does Derrick Bailey accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Derrick 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 Derrick Bailey was last updated on October 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.