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MR. LAWRENCE DOUGLAS BAILES II PA-C
NPI 1467834903
Physician Assistant - Medical in Gettysburg, PA

Active since June 21, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
18 DEATRICK DR, GETTYSBURG, PA 17325(717) 339-2500(717) 339-2502 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Apr 21, 2022, Jul 16, 2021 and 4 more (7 updates tracked since 2016).

About Mr. Lawrence Douglas Bailes Ii Pa-c NPPES

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

MR. LAWRENCE DOUGLAS BAILES II PA-C (NPI 1467834903) is an individual medical provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MA058345) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467834903
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. LAWRENCE DOUGLAS BAILES IICredential: PA-C
Location Address18 DEATRICK DRGettysburg, PA 17325-6958
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 339-2500
Fax(717) 339-2502
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 21, 2015
Last NPPES UpdateMay 29, 20257 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1467834903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA058345
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2725 (WV)
18 DEATRICK DR, Gettysburg, PA 17325
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mr. Lawrence Douglas Bailes Ii Pa-c 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 ID4486960879
PECOS Enrollment IDI20200116000147
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
264 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services31 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.
35 services29 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
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.
14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Webster Memorial Hospital

Critical Access Hospitals · Webster Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511301
Location125 Diana DriveWebster Springs, WV 26288 · Webster County
Emergency services

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511308
Location100 Hoylman DriveGassaway, WV 26624 · Braxton County
Emergency services

Pocahontas Memorial Hospital

Critical Access Hospitals · Buckeye, WV
OwnershipGovernment - Local
CMS Certification Number511314
Location150 Duncan RoadBuckeye, WV 24924 · Pocahontas County
Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

JOHN C SEFTER JR. DO
Orthopaedic Surgery
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500
HANNAH P. LEAHY D.O.
Physical Medicine & Rehabilitation (Sports Medicine)
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500
ERIC D NABORS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500
JENNIFER COOK
Occupational Therapist (Physical Rehabilitation)
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2545
KIMBERLY VOGAN PA
Physician Assistant
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500
DANIEL J SONG M.D.
Orthopaedic Surgery
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500
LIN SHEN DO
Family Medicine (Sports Medicine)
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500
KATELYN RUTH COLE
Physician Assistant (Medical)
18 DEATRICK DR
GETTYSBURG, PA 17325
Adams County (717) 339-2500

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 Lawrence Bailes's NPI number?

The NPI number for Lawrence Bailes is 1467834903. It was assigned to this individual provider in the NPPES registry on June 21, 2015.

Where is Lawrence Bailes located?

Lawrence Bailes practices at 18 Deatrick Dr, Gettysburg, PA 17325. The listed phone number is (717) 339-2500.

What is Lawrence Bailes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lawrence Bailes enrolled in Medicare?

Yes. Lawrence Bailes 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 Lawrence Bailes accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Lawrence Bailes 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 Lawrence Bailes affiliated with any hospitals?

According to CMS data, Lawrence Bailes is affiliated with United Hospital Center, Inc, Webster Memorial Hospital, Braxton County Memorial Hospital, Inc, Pocahontas Memorial Hospital and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lawrence Bailes was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.