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ANTHONY MEREDITH BAILEY MD
NPI 1295871853
Emergency Medicine in Boston, MA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
416 COMMONWEALTH AVE, SUITE 102, BOSTON, MA 02215(617) 267-8821(617) 267-4899 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony Meredith Bailey Md NPPES

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

ANTHONY MEREDITH BAILEY MD (NPI 1295871853) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (57962) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Wake Forest University School Of Medicine (1986).

NPPES Registry Identity

NPI1295871853
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANTHONY MEREDITH BAILEYCredential: MD
Location Address416 COMMONWEALTH AVE, SUITE 102Boston, MA 02215-2822
Mailing Address416 Commonwealth Ave, Suite 102Boston, MA 02215-2822 · (617) 267-8821 · Fax (617) 267-4899
Phone(617) 267-8821
Fax(617) 267-4899
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1986
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 10, 2012
✔ NPI 1295871853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 57962
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.
416 COMMONWEALTH AVE, Boston, MA 02215
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Other Identifiers 3

Medicare PINMX9594MA
Medicare UPINB98053
Medicaid3023940MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Anthony Meredith Bailey Md 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 ID6709833775
PECOS Enrollment IDI20050401000130
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

2

Medicare enrollment records show Anthony Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Physician Associates, Inc
7.6 mi
Internal Medicine
11 SHORE RD
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 221 clinicians in this Medicare group
NPI 1184606865 (781) 729-1810
Beth Israel Lahey Health Specialty Care, Inc.
12 mi
Urology
41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 clinicians in this Medicare group
NPI 1427161660 (978) 927-0714

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 7

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 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.
347 services325 patients
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.
288 services272 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.
194 services194 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.
116 services116 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.
39 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. GLORIA DIANE SPITALNY ED.D.
Psychologist (Clinical)
416 COMMONWEALTH AVE, SUITE 607
BOSTON, MA 02215
Suffolk County (617) 266-0422

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 Anthony Bailey's NPI number?

The NPI number for Anthony Bailey is 1295871853. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Anthony Bailey located?

Anthony Bailey practices at 416 Commonwealth Ave Suite 102, Boston, MA 02215. The listed phone number is (617) 267-8821.

What is Anthony Bailey's specialty?

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

Is Anthony Bailey enrolled in Medicare?

Yes. Anthony 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 Anthony Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Bailey reassigns Medicare benefits to 2 organizations: Winchester Physician Associates, Inc (Winchester, MA) and Beth Israel Lahey Health Specialty Care, Inc. (Burlington, MA). 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 Anthony Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Bailey accept?

Health plans from Taro Health list Anthony 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 Anthony Bailey affiliated with any hospitals?

According to CMS data, Anthony Bailey is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Anthony Bailey was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.