1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Emergency Medicine
  6. NPI Profile

LAUREN ASHLEY BAILEY M.D.
NPI 1295197556
Emergency Medicine in Albuquerque, NM

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
1 UNIVERSITY OF NEW MEXICO MSC11 6025, ALBUQUERQUE, NM 87131(505) 272-5062 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2019, Jun 1, 2019, Mar 25, 2016 (3 updates tracked since 2016).

About Lauren Ashley Bailey M.d. NPPES

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

LAUREN ASHLEY BAILEY M.D. (NPI 1295197556) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2019-0632) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of University Of Arkansas College Of Medicine (2016).

NPPES Registry Identity

NPI1295197556
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLAUREN ASHLEY BAILEYCredential: M.D.
Location Address1 UNIVERSITY OF NEW MEXICO MSC11 6025Albuquerque, NM 87131-0001
Mailing Address1 Medical Center Dr, Dhmc Department Of Emergency MedicineLebanon, NH 03756-1000
Phone(505) 272-5062
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2016
Enumeration DateMarch 25, 2016
Last NPPES UpdateSeptember 5, 20193 updates tracked since enumeration
✔ NPI 1295197556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2019-0632
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1295197556 (NM)
1 UNIVERSITY OF NEW MEXICO MSC11 6025, Albuquerque, NM 87131
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Msc11 6025 1Albuquerque, NM 87131 · Phone (505) 272-5062

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Ashley 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 ID2264721299
PECOS Enrollment IDI20200915002507
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 Reassignments

5

Medicare enrollment records show Lauren Bailey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
1.9 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234
Unm Medical Group Inc
2.4 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Dhhs, Phs, Naihs, Shiprock Hospital
115 mi
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1760427587 (505) 368-6401
Mercy Hospital Berryville
740 mi
Critical Access
214 CARTER ST
Berryville, AR 72616
  • Reassigned Medicare billing, Arkansas enrollment
  • 90 clinicians in this Medicare group
NPI 1457306326 (870) 423-3355
Southeastern Emergency Physicians LLC
1,285 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Arkansas enrollment
  • 310 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
239 services236 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
166 services160 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
42 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 3

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

ELIZABETH TERRELL PA
Physician Assistant
1 UNIVERSITY OF NEW MEXICO MSC11 6025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
DR. AMANDA K MEDORO M.D.
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO MSC11 6025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
KEITH JOHN AZEVEDO MD
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO MSC11 6025
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062

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 Lauren Bailey's NPI number?

The NPI number for Lauren Bailey is 1295197556. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Lauren Bailey located?

Lauren Bailey practices at 1 University Of New Mexico Msc11 6025, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Lauren Bailey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lauren Bailey enrolled in Medicare?

Yes. Lauren 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.

Which organizations bill Medicare for Lauren Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Bailey reassigns Medicare benefits to 5 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Unm Medical Group Inc (Albuquerque, NM), Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM), Mercy Hospital Berryville (Berryville, AR) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Lauren Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Bailey accept?

Health plans from Health Advantage and Octave list Lauren 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.

When was this NPI record last updated?

The NPPES record for Lauren Bailey was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.