MARGARET BAILEY RN
NPI 1336668912
Internal Medicine - Cardiovascular Disease in West Reading, PA

Active since September 14, 2017PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
301 S 7TH AVE STE 2020, WEST READING, PA 19611(610) 375-6565 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 29, 2017, Sep 14, 2017 (2 updates tracked since 2017).

About Margaret Bailey Rn NPPES

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

MARGARET BAILEY RN (NPI 1336668912) is an individual cardiovascular disease provider in West Reading, Pennsylvania, licensed in Pennsylvania (SP018099) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336668912
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMARGARET BAILEYCredential: RN
Location Address301 S 7TH AVE STE 2020West Reading, PA 19611-1495
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (610) 375-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 14, 2017
Last NPPES UpdateNovember 29, 20172 updates tracked since enumeration
NPI 1336668912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in PA · SP018099 Licensed in PA · RN627310
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

301 S 7TH AVE STE 2020, West Reading, PA 19611

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

Margaret Bailey Rn 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 ID1951657402
PECOS Enrollment IDI20180713000608
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
90 services85 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.
73 services71 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.
20 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier13 claims13 services$2,147.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Nurse Practitioner
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Clinical Cardiac Electrophysiology)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Clinical Nurse Specialist (Gerontology)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Pulmonary Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336668912, enumerated as an "individual" on September 14, 2017.

The provider is located at 301 S 7TH AVE STE 2020 WEST READING, PA 19611 and the phone number is (610) 375-6565.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Margaret Bailey is affiliated with: READING HOSPITAL.