DR. JAMES ROBERT BAILEY M.D.
NPI 1144584905
Internal Medicine in Indianapolis, IN

Q: What is James Bailey's NPI number?

The NPI number for James Bailey is 1144584905. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is James Bailey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Bailey was last updated on September 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment

67.77/100

CMS Quality Rating

1001 W 10TH ST # M200, INDIANAPOLIS, IN 46202(606) 831-4756 Get Directions Write a Review

NPPES record last updated: September 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James Robert Bailey M.d. NPPES

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

DR. JAMES ROBERT BAILEY M.D. (NPI 1144584905) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (11016645A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Tiffin Hospital, and is a graduate of University Of Kentucky College Of Medicine (2008).

NPPES Registry Identity

NPI1144584905

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES ROBERT BAILEYCredential: M.D.

Location Address1001 W 10TH ST # M200Indianapolis, IN 46202-2859

Mailing Address151 S East St, Apt 111Indianapolis, IN 46202-4074 · (317) 656-4260

Phone(606) 831-4756

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2008

Enumeration DateJune 26, 2012

Last NPPES UpdateSeptember 30, 2012

✔ NPI 1144584905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 11016645A

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.

1001 W 10TH ST # M200, Indianapolis, IN 46202

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Accepted Insurance

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

Dr. James Robert 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 ID2860632932

PECOS Enrollment IDI20210329001835

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 15

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.

306 services195 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

168 services159 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

157 services155 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

130 services128 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.

66 services61 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

35 services33 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

34 services33 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.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services19 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

21 services20 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

19 services18 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.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360089

Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County

Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Fostoria Community Hospital

Critical Access Hospitals · Fostoria, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361318

Location501 Van Buren StreetFostoria, OH 44830 · Seneca County

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361322

Location139 Garau StreetBluffton, OH 45817 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

67.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.71

Promoting Interoperability

Improvement Activities

Cost

58.37

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Other Providers at the Same Location NPPES 11

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

VINDHYA LAKSHMI VEERULA MD

Dermatology

1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202

Marion County (317) 656-4260

INDIANA UNIVERSITY SCHOOL OF MEDICINE

General Acute Care Hospital

1001 W 10TH ST # M200, INDIANA UNIVERSITY DEPARTMENT OF DERMATOLOGY
INDIANAPOLIS, IN 46202

Marion County (317) 312-7030

INDIANA UNIVERITY

General Acute Care Hospital

1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202

Marion County (317) 656-4260

JUDY WAWIRA GICHOYA MD

Radiology (Vascular & Interventional Radiology)

1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202

Marion County (317) 656-4260

SUFYAN SIAL M.D.

Hospitalist

1001 W 10TH ST # M200, WISHARD HOSPITAL
INDIANAPOLIS, IN 46202

Marion County (217) 721-2040

INDIANA UNIVERSITY

General Acute Care Hospital

1001 W 10TH ST # M200, WISHARD HOSPITAL
INDIANAPOLIS, IN 46202

Marion County (317) 630-6857

UPASANA JARORI MD

Internal Medicine

1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202

Marion County (317) 656-4260

DR. GABRIEL M KRAUSE M.D.

Anesthesiology

1001 W 10TH ST # M200
INDIANAPOLIS, IN 46202

Marion County (317) 656-4260

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 James Bailey's NPI number?

The NPI number for James Bailey is 1144584905. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is James Bailey located?

James Bailey practices at 1001 W 10th St # M200, Indianapolis, IN 46202. The listed phone number is (606) 831-4756.

What is James Bailey's specialty?

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

Is James Bailey enrolled in Medicare?

Yes. James 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 James Bailey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list James 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 James Bailey affiliated with any hospitals?

According to CMS data, James Bailey is affiliated with Mercy Health - Tiffin Hospital, Blanchard Valley Hospital, Fostoria Community Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for James Bailey was last updated on September 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.