JAMES THOMAS BAILEY IV PAC
NPI 1215927249
Physician Assistant in Alcoa, TN

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, May 18, 2020 (2 updates tracked since 2020).

About James Thomas Bailey Iv Pac NPPES

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

JAMES THOMAS BAILEY IV PAC (NPI 1215927249) is an individual physician assistant in Alcoa, Tennessee, licensed in Tennessee (PA1017) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (2002).

NPPES Registry Identity

NPI1215927249
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES THOMAS BAILEY IVCredential: PAC
Location Address266 JOULE STAlcoa, TN 37701-2422
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2002
Enumeration DateOctober 21, 2005
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1215927249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · PA1017
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
266 JOULE ST, Alcoa, TN 37701

Other Identifiers 1

MedicaidQ025690TN

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

James Thomas Bailey Iv Pac 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 ID4587603733
PECOS Enrollment IDI20050427001215
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 2

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.
131 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37701 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

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.

Physician Assistant
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner
266 JOULE ST
ALCOA, TN 37701
Internal Medicine
266 JOULE ST
ALCOA, TN 37701
Family Medicine
266 JOULE ST
ALCOA, TN 37701
Physician Assistant
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner (Family)
266 JOULE ST
ALCOA, TN 37701
Psychiatry & Neurology (Neurology)
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner (Adult Health)
266 JOULE ST
ALCOA, TN 37701

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 1215927249. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is James Bailey located?

James Bailey practices at 266 Joule St, Alcoa, TN 37701. The listed phone number is (865) 984-3864.

What is James Bailey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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 BlueCross BlueShield of Tennessee and UnitedHealthcare 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 Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Bailey was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.