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JOSEPH D BAILEY IV M.D.
NPI 1144510231
Internal Medicine in Crestview Hills, KY

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment
2765 CHAPEL PL, SUITE 200, CRESTVIEW HILLS, KY 41017(859) 578-3400(859) 957-0055 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2018, Apr 10, 2017 (2 updates tracked since 2017).

About Joseph D Bailey Iv M.d. NPPES

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

JOSEPH D BAILEY IV M.D. (NPI 1144510231) is an individual internal medicine provider in Crestview Hills, Kentucky, licensed in Kentucky (48156) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Louisville School Of Medicine (2011).

NPPES Registry Identity

NPI1144510231
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH D BAILEY IVCredential: M.D.
Location Address2765 CHAPEL PL, SUITE 200Crestview Hills, KY 41017
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 578-3400 · Fax (859) 957-0055
Phone(859) 578-3400
Fax(859) 957-0055
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2011
Enumeration DateApril 11, 2011
Last NPPES UpdateSeptember 7, 20182 updates tracked since enumeration
✔ NPI 1144510231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 48156✔ Licensed in OH · 53.019336
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.

Also ListedPediatricsTaxonomy 208000000X · License 53.019336 (OH), 48156 (KY)
2765 CHAPEL PL, Crestview Hills, KY 41017
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Other Identifiers 1

Medicaid7100354850KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Joseph D Bailey Iv 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 ID9638301492
PECOS Enrollment IDI20150630003014
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 9

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.
326 services158 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.
148 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
59 services57 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
55 services53 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services27 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%64 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%116 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%157 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
47%132 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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
10 suppliers23 claims45 services$5.27 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 15

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

JON RAYMOND MINZNER MD
Internal Medicine
2765 CHAPEL PL, SUITE 200
CRESTVIEW HILLS, KY 41017
Kenton County (859) 578-3400
HALEY RYAN BEZOLD
Speech-Language Pathologist
2765 CHAPEL PL
CRESTVIEW HILLS, KY 41017
Kenton County (859) 344-5390
DR. ANDREW WINSLOW M.D.
Allergy & Immunology (Allergy)
2765 CHAPEL PL
CRESTVIEW HILLS, KY 41017
Kenton County (859) 344-5390
PAIGE HEIMBROCK M.A, CF-SLP
Speech-Language Pathologist
2765 CHAPEL PL
CRESTVIEW HILLS, KY 41017
Kenton County (859) 344-5390
PEDIATRIC DENTAL GARDEN CENTER
Dentist (Pediatric Dentistry)
2765 CHAPEL PL, STE. 250
CRESTVIEW HILLS, KY 41017
Kenton County (859) 344-6200
AMY LEE
Occupational Therapist (Pediatrics)
2765 CHAPEL PL
CRESTVIEW HILLS, KY 41017
Kenton County (859) 344-5390
ANA ELISE MORGAN PT, DPT, PCS
Physical Therapist
2765 CHAPEL PL
CRESTVIEW HILLS, KY 41017
Kenton County (513) 636-7079
DONALD L PRICE M.D.
Internal Medicine
2765 CHAPEL PL, SUITE 200
CRESTVIEW HILLS, KY 41017
Kenton County (859) 578-3400

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 Joseph Bailey's NPI number?

The NPI number for Joseph Bailey is 1144510231. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Joseph Bailey located?

Joseph Bailey practices at 2765 Chapel Pl Suite 200, Crestview Hills, KY 41017. The listed phone number is (859) 578-3400.

What is Joseph Bailey's specialty?

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

Is Joseph Bailey enrolled in Medicare?

Yes. Joseph 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 Joseph Bailey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Joseph 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 Joseph Bailey affiliated with any hospitals?

According to CMS data, Joseph Bailey is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Joseph Bailey was last updated on September 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.