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DR. ALBAN I BAILEY M.D.
NPI 1326210972
Emergency Medicine in Stony Brook, NY

Active since March 24, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
DEPT OF EMERGENCY MEDICINE, STONY BROOK UNIVERSITY HOSPITAL, STONY BROOK, NY 11794(631) 444-2478(631) 444-3919 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alban I Bailey M.d. NPPES

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

DR. ALBAN I BAILEY M.D. (NPI 1326210972) is an individual emergency medicine provider in Stony Brook, New York, licensed in New York (257353) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2007).

NPPES Registry Identity

NPI1326210972
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ALBAN I BAILEYCredential: M.D.
Location AddressDEPT OF EMERGENCY MEDICINE, STONY BROOK UNIVERSITY HOSPITALStony Brook, NY 11794-8350
Mailing AddressHsc Level 4 Rm 080, Stony Brook University Hospital/emergency MedicineStony Brook, NY 11794-8350 · (631) 444-2478 · Fax (631) 444-3919
Phone(631) 444-2478
Fax(631) 444-3919
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2007
Enumeration DateMarch 24, 2008
Last NPPES UpdateJune 21, 2010
✔ NPI 1326210972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 257353
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.
DEPT OF EMERGENCY MEDICINE, Stony Brook, NY 11794
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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

Dr. Alban I 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 ID4486788486
PECOS Enrollment IDI20100812000657
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 Alban Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
32 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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.
607 services562 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.
173 services161 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.
46 services40 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Alban Bailey's NPI number?

The NPI number for Alban Bailey is 1326210972. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is Alban Bailey located?

Alban Bailey practices at Dept Of Emergency Medicine Stony Brook University Hospital, Stony Brook, NY 11794. The listed phone number is (631) 444-2478.

What is Alban Bailey's specialty?

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

Is Alban Bailey enrolled in Medicare?

Yes. Alban 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 organization bills Medicare for Alban Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alban Bailey reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 Alban Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alban Bailey affiliated with any hospitals?

According to CMS data, Alban Bailey is affiliated with Peconic Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Alban Bailey was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.