ELLEN HUNTER BAILEY M.D.
NPI 1184867756
Colon & Rectal Surgery in Columbus, OH

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
5965 E BROAD ST, SUITE #250, COLUMBUS, OH 43213(614) 759-5060(614) 759-5065 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Hunter Bailey M.d. NPPES

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

ELLEN HUNTER BAILEY M.D. (NPI 1184867756) is an individual colon & rectal surgery provider in Columbus, Ohio, licensed in Ohio (35.126517) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of University Of Washington School Of Medicine (2009).

NPPES Registry Identity

NPI1184867756
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameELLEN HUNTER BAILEYCredential: M.D.
Location Address5965 E BROAD ST, SUITE #250Columbus, OH 43213-1562
Mailing Address5965 E Broad St Ste 250Columbus, OH 43213-1544 · (614) 627-1560 · Fax (614) 627-1565
Fax(614) 759-5065
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2009
Enumeration DateApril 13, 2009
Last NPPES UpdateApril 16, 2020
NPPES CertifiedApril 16, 2020
NPI 1184867756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in OH · 35.126517
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

5965 E BROAD ST, Columbus, OH 43213

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

Ellen Hunter 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 ID8224349709
PECOS Enrollment IDI20150624002926
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 10

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.

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.
65 services65 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.
33 services29 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.
28 services28 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
26 services18 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.
24 services24 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

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.

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.86 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 20

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

Psychologist
5965 E BROAD ST, SUITE 370
COLUMBUS, OH 43213
Colon & Rectal Surgery
5965 E BROAD ST, #250
COLUMBUS, OH 43213
Psychiatry & Neurology (Neurology)
5965 E BROAD ST, SUITE 260
COLUMBUS, OH 43213
Physical Therapist
5965 E BROAD ST, SUITE 390
COLUMBUS, OH 43213
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5965 E BROAD ST
COLUMBUS, OH 43213
Surgery
5965 E BROAD ST, SUITE 120
COLUMBUS, OH 43213
Psychiatry & Neurology (Neurology)
5965 E BROAD ST, SUITE 260
COLUMBUS, OH 43213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5965 E BROAD ST, SUITE 340
COLUMBUS, OH 43213

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 Ellen Bailey's NPI number?

The NPI number for Ellen Bailey is 1184867756. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Ellen Bailey located?

Ellen Bailey practices at 5965 E Broad St Suite #250, Columbus, OH 43213. The listed phone number is (614) 759-5060.

What is Ellen Bailey's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Ellen Bailey enrolled in Medicare?

Yes. Ellen 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 Ellen Bailey accept?

Health plans from Antidote Health Plan of Ohio, Inc., Oscar Health Insurance and UnitedHealthcare list Ellen 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 Ellen Bailey affiliated with any hospitals?

According to CMS data, Ellen Bailey is affiliated with Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Ellen Bailey was last updated on April 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.