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SIDDHARTH BALE M.D
NPI 1508144478
Hospitalist in Lexington, KY

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604, LEXINGTON, KY 40536(859) 323-6047(859) 257-3873 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Siddharth Bale M.d NPPES

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

SIDDHARTH BALE M.D (NPI 1508144478) is an individual hospitalist provider in Lexington, Kentucky, licensed in Kentucky (48107) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1508144478
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSIDDHARTH BALECredential: M.D
Location AddressUK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604Lexington, KY 40536-0298
Mailing AddressUk Division Of Hospital Medicine, 800 Rose Street, Mn604Lexington, KY 40536-0298 · (859) 323-6047 · Fax (859) 257-3873
Phone(859) 323-6047
Fax(859) 257-3873
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 26, 2011
Last NPPES UpdateSeptember 9, 2015
✔ NPI 1508144478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 48107
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 48107 (KY)
UK DIVISION OF HOSPITAL MEDICINE, Lexington, KY 40536
Open in Google Maps ↗

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

Siddharth Bale 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 ID8325266166
PECOS Enrollment IDI20221111001254
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 7

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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
136 services60 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
107 services38 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services98 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services32 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services11 patients

Hospital Affiliations CMS Care Compare

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%152 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$14.43 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$782.79 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$61.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

CHARLES GARRETT SARGENT MD
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
DR. ANNA ROGOZINSKA MD
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
JOHN W RAGSDALE IV MD
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
DR. ANTHONY GRANVILLE LILE JR. M.D.
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE ST, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
DR. JAMES A. TROY M.D.
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
DR. JAGRITI CHADHA M.D.
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
DR. ROMIL CHADHA M.D.
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
PADMAJA GADDAM
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047

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 Siddharth Bale's NPI number?

The NPI number for Siddharth Bale is 1508144478. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Siddharth Bale located?

Siddharth Bale practices at Uk Division Of Hospital Medicine 800 Rose Street, Mn604, Lexington, KY 40536. The listed phone number is (859) 323-6047.

What is Siddharth Bale's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Siddharth Bale enrolled in Medicare?

Yes. Siddharth Bale 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.

Is Siddharth Bale affiliated with any hospitals?

According to CMS data, Siddharth Bale is affiliated with Salem Hospital.

When was this NPI record last updated?

The NPPES record for Siddharth Bale was last updated on September 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.