DR. DONALD M. BAILEY MD
NPI 1467486902
Internal Medicine - Gastroenterology in Newburgh, IN

Q: What is Donald Bailey's NPI number?

The NPI number for Donald Bailey is 1467486902. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Donald Bailey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Donald Bailey was last updated on November 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3800 VENETIAN WAY, STE 200, NEWBURGH, IN 47630(812) 477-6103(812) 477-4897 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2021, Oct 17, 2019 (2 updates tracked since 2019).

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About Dr. Donald M. Bailey Md NPPES

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

DR. DONALD M. BAILEY MD (NPI 1467486902) is an individual gastroenterology provider in Newburgh, Indiana, licensed in Indiana (01052425) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Southern Illinois University School Of Medicine (1994).

NPPES Registry Identity

NPI1467486902

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DONALD M. BAILEYCredential: MD

Location Address3800 VENETIAN WAY, STE 200Newburgh, IN 47630-8257

Mailing Address3800 Venetian WayNewburgh, IN 47630-8257 · (812) 477-6103 · Fax (812) 477-4897

Phone(812) 477-6103

Fax(812) 477-4897

Sole ProprietorYes

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1994

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1467486902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IN · 01052425

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3800 VENETIAN WAY, Newburgh, IN 47630

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Other Identifiers 1

Medicaid200266240AIN

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

Dr. Donald M. 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 ID2769583509

PECOS Enrollment IDI20080618000344

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 13

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

1,168 services109 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

660 services113 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

157 services156 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

103 services16 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

100 services97 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

94 services15 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.

58 services54 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

45 services44 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

44 services44 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

43 services43 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

23 services23 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.

15 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150100

Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County

Emergency services Birthing friendly

Ascension St Vincent Warrick

Critical Access Hospitals · Boonville, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151325

Location1116 Millis AveBoonville, IN 47601 · Warrick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%146 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

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

SCARLETT CAO MD

Internal Medicine

3800 VENETIAN WAY
NEWBURGH, IN 47630

Warrick County (812) 477-6103

LADONNA M SCHMIDT ACNP

Nurse Practitioner (Acute Care)

3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630

Warrick County (812) 477-6103

PAUL KOZAK DO

Internal Medicine (Gastroenterology)

3800 VENETIAN WAY
NEWBURGH, IN 47630

Warrick County (812) 477-6103

ABBY ELIZABETH DOSSETT AG-ACNP

Nurse Practitioner (Acute Care)

3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630

Warrick County (812) 477-6103

DIGESTIVE CARE OF EVANSVILLE, PC

Non-Pharmacy Dispensing Site

3800 VENETIAN WAY
NEWBURGH, IN 47630

Warrick County (812) 477-6103

DR. VAJRAVEL M. PRASAD MD

Internal Medicine (Gastroenterology)

3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630

Warrick County (812) 477-6103

KRISTA LAND NP-C

Nurse Practitioner (Family)

3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630

Warrick County (812) 477-6103

KONSTANTIN BORODA M.D.

Internal Medicine (Gastroenterology)

3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630

Warrick County (812) 266-2933

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 Donald Bailey's NPI number?

The NPI number for Donald Bailey is 1467486902. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Donald Bailey located?

Donald Bailey practices at 3800 Venetian Way Ste 200, Newburgh, IN 47630. The listed phone number is (812) 477-6103.

What is Donald Bailey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Donald Bailey enrolled in Medicare?

Yes. Donald 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.

What insurance does Donald Bailey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Donald 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.

Is Donald Bailey affiliated with any hospitals?

According to CMS data, Donald Bailey is affiliated with Deaconess Hospital Inc, Ascension St Vincent Evansville and Ascension St Vincent Warrick.

When was this NPI record last updated?

The NPPES record for Donald Bailey was last updated on November 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.