THOMAS M BAILEY MD
NPI 1225119373
Pediatrics in Troy, NC

Active since October 17, 2006PECOS Enrolled
835 ALBEMARLE RD, TROY, NC 27371(910) 572-2309 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 45 more (48 updates tracked since 2016).

About Thomas M Bailey Md NPPES

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

THOMAS M BAILEY MD (NPI 1225119373) is an individual pediatrics provider in Troy, North Carolina, licensed in North Carolina (2009-01697) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albemarle.

NPPES Registry Identity

NPI1225119373
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHOMAS M BAILEYCredential: MD
Location Address835 ALBEMARLE RDTroy, NC 27371-8682
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 15, 202448 updates tracked since enumeration
✔ NPI 1225119373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2009-01697
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
835 ALBEMARLE RD, Troy, NC 27371

Secondary Practice Location 1

Location 1105 Yadkin St, Ste 303Albemarle, NC 28001-3449 · Phone (980) 323-5400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas M Bailey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
835 ALBEMARLE RD
Troy, NC 27371
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27371 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
835 ALBEMARLE RD
TROY, NC 27371
Physician Assistant (Medical)
835 ALBEMARLE RD
TROY, NC 27371
Physician Assistant
835 ALBEMARLE RD
TROY, NC 27371
Physician Assistant
835 ALBEMARLE RD
TROY, NC 27371
Family Medicine
835 ALBEMARLE RD
TROY, NC 27371
Family Medicine
835 ALBEMARLE RD
TROY, NC 27371
Family Medicine
835 ALBEMARLE RD
TROY, NC 27371

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 Thomas Bailey's NPI number?

The NPI number for Thomas Bailey is 1225119373. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Thomas Bailey located?

Thomas Bailey practices at 835 Albemarle Rd, Troy, NC 27371. The listed phone number is (910) 572-2309.

What is Thomas Bailey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Bailey enrolled in Medicare?

Yes. Thomas Bailey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Bailey reassigns Medicare benefits to Carolinas Physicians Network Inc (Troy, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Bailey was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.