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BILLY DEAN BAILEY MD
NPI 1396730552
Internal Medicine - Rheumatology in Paducah, KY

Active since September 14, 2005PECOS Enrolled
76.78/100
CMS Quality Rating
125 AUGUSTA AVE, SUITE A, PADUCAH, KY 42003(270) 534-0046(270) 534-0048 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Billy Dean Bailey Md NPPES

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

BILLY DEAN BAILEY MD (NPI 1396730552) is an individual rheumatology provider in Paducah, Kentucky, licensed in Tennessee (16622) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396730552
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameBILLY DEAN BAILEYCredential: MD
Location Address125 AUGUSTA AVE, SUITE APaducah, KY 42003-5515
Mailing Address854 W. James Campbell Blvd, Suite 303Columbia, TN 38401 · (931) 388-9706 · Fax (931) 388-9772
Phone(270) 534-0046
Fax(270) 534-0048
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJune 7, 2018
✔ NPI 1396730552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in TN · 16622✔ Licensed in KY · 26804
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
125 AUGUSTA AVE, Paducah, KY 42003
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Other Identifiers 4

Other000000049267KY · Blue Cross Blue Shield
Other145768Healthlink
Other029602Health Alliance
Other18D0700362Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Billy Dean Bailey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Other Providers at the Same Location NPPES

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

WEST KENTUCKY RHEUMATOLOGY,PSC
Internal Medicine (Rheumatology)
125 AUGUSTA AVE, SUITE A
PADUCAH, KY 42003
McCracken County (270) 534-0046

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 Billy Bailey's NPI number?

The NPI number for Billy Bailey is 1396730552. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Billy Bailey located?

Billy Bailey practices at 125 Augusta Ave Suite A, Paducah, KY 42003. The listed phone number is (270) 534-0046.

What is Billy Bailey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Billy Bailey enrolled in Medicare?

Yes. Billy Bailey is registered in the Medicare PECOS enrollment system.

What insurance does Billy Bailey accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Billy 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 Billy Bailey was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.