JAMES BAILEY MD
NPI 1194112375
Family Medicine in Post Falls, ID

Q: What is James Bailey's NPI number?

The NPI number for James Bailey is 1194112375. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Q: What is James Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is James Bailey enrolled in Medicare?

No. James Bailey has opted out of Medicare through November 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for James Bailey was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 24, 2015Opted out of Medicare · through Nov 23, 2026CLIA 13D0522313 · Microscopy

185 W 4TH AVE STE B, POST FALLS, ID 83854(206) 235-6171(833) 285-1133 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About James Bailey Md NPPES

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

JAMES BAILEY MD (NPI 1194112375) is an individual family medicine provider in Post Falls, Idaho, licensed in Idaho (M13982) and active in the NPI registry since April 2015. He has opted out of Medicare through November 23, 2026 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through June 30, 2027.

NPPES Registry Identity

NPI1194112375

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES BAILEYCredential: MD

Location Address185 W 4TH AVE STE BPost Falls, ID 83854

Mailing Address185 W 4th Ave Ste BPost Falls, ID 83854-4979 · (206) 235-6171 · Fax (833) 285-1133

Phone(206) 235-6171

Fax(833) 285-1133

Sole ProprietorNo

Enumeration DateApril 24, 2015

Last NPPES UpdateAugust 7, 2018

✔ NPI 1194112375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M13982

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

185 W 4TH AVE STE B, Post Falls, ID 83854

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

James Bailey Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 23, 2020 through November 23, 2026.

Opt-Out Effective DateNovember 23, 2020

Opt-Out In Effect ThroughNovember 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0522313

James Bailey MD · Post Falls, ID

Active · expires Jun 30, 2027

CLIA Number13D0522313

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2025

Certificate Expiration DateJune 30, 2027

Laboratory DirectorJames S. Bailey

Laboratory Phone(206) 235-6171

Laboratory LocationJames Bailey MD185 W 4th Ave #b, Post Falls, ID 83854

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83854 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$82.84 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$172.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 1194112375. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is James Bailey located?

James Bailey practices at 185 W 4th Ave Ste B, Post Falls, ID 83854. The listed phone number is (206) 235-6171.

What is James Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Bailey enrolled in Medicare?

No. James Bailey has opted out of Medicare through November 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does James Bailey hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0522313) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for James Bailey was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.