NICHOLAS BAILEY MD
NPI 1386022697
Surgery in Pittsburgh, PA

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4815 LIBERTY AVE STE M02, PITTSBURGH, PA 15224(412) 578-1448(412) 605-6316 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2020, Oct 1, 2020, Aug 14, 2020 (3 updates tracked since 2020).

About Nicholas Bailey Md NPPES

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

NICHOLAS BAILEY MD (NPI 1386022697) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD471693) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386022697
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICHOLAS BAILEYCredential: MD
Location Address4815 LIBERTY AVE STE M02Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste M02Pittsburgh, PA 15224-2156 · (412) 578-1448 · Fax (412) 605-6316
Fax(412) 605-6316
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1386022697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD471693
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4815 LIBERTY AVE STE M02, Pittsburgh, PA 15224

Other Identifiers 2

Other14947696Caqh
Medicaid103239488PA

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

Nicholas 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 ID4789972464
PECOS Enrollment IDI20200819001022
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services34 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
31 services29 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.
21 services20 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.
17 services17 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.
16 services16 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4815 LIBERTY AVE STE M02
PITTSBURGH, PA 15224
Surgery
4815 LIBERTY AVE STE M02
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE M02
PITTSBURGH, PA 15224
Colon & Rectal Surgery
4815 LIBERTY AVE STE M02
PITTSBURGH, PA 15224
Surgery
4815 LIBERTY AVE STE M02
PITTSBURGH, PA 15224

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 Nicholas Bailey's NPI number?

The NPI number for Nicholas Bailey is 1386022697. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Nicholas Bailey located?

Nicholas Bailey practices at 4815 Liberty Ave Ste M02, Pittsburgh, PA 15224. The listed phone number is (412) 578-1448.

What is Nicholas Bailey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Bailey enrolled in Medicare?

Yes. Nicholas 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.

Is Nicholas Bailey affiliated with any hospitals?

According to CMS data, Nicholas Bailey is affiliated with Allegheny General Hospital, West Penn Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Bailey was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.