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WILLIAM BAILER M.D.
NPI 1427045285
Surgery in Martins Ferry, OH

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
92 N 4TH ST, SUITE 14, MARTINS FERRY, OH 43935(740) 633-6504(740) 635-6514 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Bailer M.d. NPPES

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

WILLIAM BAILER M.D. (NPI 1427045285) is an individual surgery provider in Martins Ferry, Ohio, licensed in Ohio (35070121B) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1991).

NPPES Registry Identity

NPI1427045285
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWILLIAM BAILERCredential: M.D.
Location Address92 N 4TH ST, SUITE 14Martins Ferry, OH 43935-1691
Mailing AddressPo Box 2812Weirton, WV 26062-6812 · (740) 633-6504 · Fax (740) 633-6514
Phone(740) 633-6504
Fax(740) 635-6514
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1991
Enumeration DateOctober 5, 2005
Last NPPES UpdateJuly 30, 2019
✔ NPI 1427045285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OH · 35070121B✔ Licensed in WV · 18596
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.

92 N 4TH ST, Martins Ferry, OH 43935
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Other Identifiers 2

Medicaid0274644OH
Medicaid0126514000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 and accepts Medicare assignment

William Bailer 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 ID2163566522
PECOS Enrollment IDI20100223000514
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 5

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.
83 services52 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.
31 services31 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.
29 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.
17 services15 patients
Insertion of abdominal cavity tube using an endoscope 49324
This procedure involves placing a tube into your abdominal cavity with the aid of an endoscope, a thin, flexible tube with a light and camera. It helps drain fluid or air, administer medication, or aid in diagnosis. It's done under sedation for comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43935 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 14

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

SANJAY CHAUDHRY MD
Specialist
92 N 4TH ST, SUITE 11
MARTINS FERRY, OH 43935
Belmont County (740) 633-4447
DR MARIO C MEJIA PC
Internal Medicine
92 N 4TH ST, SUITE 18
MARTINS FERRY, OH 43935
Belmont County (740) 633-4305
ASHRAF S BADOUR M.D.
Psychiatry & Neurology (Neurology)
92 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-4194
JOSEPH A GABIS MD INC
Internal Medicine (Cardiovascular Disease)
92 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-6462
WHEELING HOSPITAL, INC.
Clinic/Center
92 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (304) 243-3000
JAMES R SHOPE MD LLC
Plastic Surgery
92 N 4TH ST, SUITE A
MARTINS FERRY, OH 43935
Belmont County (740) 633-4303
MARIO CORDOVA MEJIA MD
Internal Medicine
92 N 4TH ST, SUITE 18
MARTINS FERRY, OH 43935
Belmont County (740) 633-4305
ALECTO EAST OHIO PHYSICIANS, INC.
Family Medicine
92 N 4TH ST, SUITE 11
MARTINS FERRY, OH 43935
Belmont County (740) 633-1100

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 William Bailer's NPI number?

The NPI number for William Bailer is 1427045285. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is William Bailer located?

William Bailer practices at 92 N 4th St Suite 14, Martins Ferry, OH 43935. The listed phone number is (740) 633-6504.

What is William Bailer's specialty?

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

Is William Bailer enrolled in Medicare?

Yes. William Bailer 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.

What insurance does William Bailer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list William Bailer 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 William Bailer affiliated with any hospitals?

According to CMS data, William Bailer is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for William Bailer was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.