LUNA BAILEY MD
NPI 1174577142
Otolaryngology in Gastonia, NC

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2520 ABERDEEN BLVD, GASTONIA, NC 28054(704) 868-8400(704) 868-8400 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luna Bailey Md NPPES

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

LUNA BAILEY MD (NPI 1174577142) is an individual otolaryngology provider in Gastonia, North Carolina, licensed in North Carolina (200401468) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of State University Of New York At Buffalo School Of Medicine (1998).

NPPES Registry Identity

NPI1174577142
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameLUNA BAILEYCredential: MD
Location Address2520 ABERDEEN BLVDGastonia, NC 28054-0635
Mailing Address2520 Aberdeen BlvdGastonia, NC 28054-0635 · (704) 868-8400
Fax(704) 868-8400
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 2, 2012
NPI 1174577142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in NC · 200401468 Licensed in SC · 202212868
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2520 ABERDEEN BLVD, Gastonia, NC 28054

Other Identifiers 5

Medicare UPINH86078
Medicare ID-Type Unspecified2334237NC
Medicaid5901043NC
MedicaidGP4146SC
Medicare PIN8346SC

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

Luna 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 ID9436199809
PECOS Enrollment IDI20050504001077
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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
810 services23 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
421 services30 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.
204 services158 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.
112 services112 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.
101 services80 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
98 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers14 claims455 services$5.24 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 11

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

Otolaryngology
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Otolaryngology
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Otolaryngology
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Audiologist-Hearing Aid Fitter
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Audiologist
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Hearing Instrument Specialist
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Specialist
2520 ABERDEEN BLVD
GASTONIA, NC 28054
Specialist
2520 ABERDEEN BLVD
GASTONIA, NC 28054

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 Luna Bailey's NPI number?

The NPI number for Luna Bailey is 1174577142. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Luna Bailey located?

Luna Bailey practices at 2520 Aberdeen Blvd, Gastonia, NC 28054. The listed phone number is (704) 868-8400.

What is Luna Bailey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Luna Bailey enrolled in Medicare?

Yes. Luna 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 Luna Bailey accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Luna 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 Luna Bailey affiliated with any hospitals?

According to CMS data, Luna Bailey is affiliated with Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Luna Bailey was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.