Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LUCY A. BAILEY MD
NPI 1437545795
Ophthalmology in Houston, TX

Q: What is Lucy Bailey's NPI number?

The NPI number for Lucy Bailey is 1437545795. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Lucy Bailey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucy Bailey was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since April 13, 2015PECOS Enrolled

93.42/100

CMS Quality Rating

12121 RICHMOND AVE STE 110, HOUSTON, TX 77082(281) 493-1733 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2025, Jan 3, 2022, Aug 20, 2021 (3 updates tracked since 2021).

On this page

About Dr. Lucy A. Bailey Md NPPES

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

DR. LUCY A. BAILEY MD (NPI 1437545795) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (S6354) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2015).

NPPES Registry Identity

NPI1437545795

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. LUCY A. BAILEYCredential: MD

Location Address12121 RICHMOND AVE STE 110Houston, TX 77082-2420

Mailing Address2855 Gramercy St Ste 400Houston, TX 77025-1697 · (713) 668-6828

Phone(281) 493-1733

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2015

Enumeration DateApril 13, 2015

Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1437545795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · S6354

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

12121 RICHMOND AVE STE 110, Houston, TX 77082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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. Lucy A. 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 ID2163759200

PECOS Enrollment IDI20200824003688

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 Reassignments

Medicare enrollment records show Lucy Bailey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hea Clinic PA

7.5 mi

Ophthalmology

1447 HIGHWAY 6 STE 110
Sugar Land, TX 77478

Reassigned Medicare billing, Texas enrollment
44 clinicians in this Medicare group

NPI 1689792053 (281) 565-2020

University Of Texas Health Science Center At San Antonio

180 mi

Clinical Pathology/Laboratory Medicine

7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1396717989 (210) 450-9000

Central Valley Eye Medical Group Inc.

1,578 mi

Ophthalmology

36 WEST YOKUTS AVE, SUITE 1
Stockton, CA 95207

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1609975366 (209) 952-3700

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 19

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 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.

204 services194 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

192 services184 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

185 services169 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

143 services124 patients

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.

95 services82 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

80 services80 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.

46 services46 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

45 services34 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

37 services36 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

37 services36 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

36 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services34 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

34 services33 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

22 services22 patients

Insertion of probe into nasal tear duct 68810

The insertion of a probe into the nasal tear duct is a procedure done to clear blockages in the tear duct. This helps restore normal tear drainage, preventing excessive tearing or infection. A thin, flexible instrument is gently inserted into the duct to open it up. It's a quick, usually painless process.

15 services14 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.

14 services14 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

13 services13 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

11 services11 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

93.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.14

Improvement Activities

Cost

81.47

Other Providers at the Same Location NPPES 3

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

DR. RICHARD J. OU M.D.

Ophthalmology

12121 RICHMOND AVE STE 110
HOUSTON, TX 77082

Harris County (281) 493-1733

RUSHI N MANKAD MD

Ophthalmology

12121 RICHMOND AVE STE 110
HOUSTON, TX 77082

Harris County (281) 493-1733

DR. BENJAMIN JINSUNG PARK MD

Ophthalmology

12121 RICHMOND AVE STE 110
HOUSTON, TX 77082

Harris County (281) 493-1733

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 Lucy Bailey's NPI number?

The NPI number for Lucy Bailey is 1437545795. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Lucy Bailey located?

Lucy Bailey practices at 12121 Richmond Ave Ste 110, Houston, TX 77082. The listed phone number is (281) 493-1733.

What is Lucy Bailey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lucy Bailey enrolled in Medicare?

Yes. Lucy 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 organizations bill Medicare for Lucy Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucy Bailey reassigns Medicare benefits to 3 organizations: Hea Clinic PA (Sugar Land, TX), University Of Texas Health Science Center At San Antonio (San Antonio, TX) and Central Valley Eye Medical Group Inc. (Stockton, CA). Each 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 Lucy Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucy Bailey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Lucy 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 Lucy Bailey was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.