LEE BURTON BAILEY MD
NPI 1659315117
Family Medicine in Spearfish, SD

Q: What is Lee Bailey's NPI number?

The NPI number for Lee Bailey is 1659315117. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Lee Bailey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lee Bailey was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 June 15, 2006PECOS EnrolledAccepts Medicare Assignment

1440 N MAIN ST, SPEARFISH, SD 57783(605) 644-4004(605) 644-4006 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lee Burton Bailey Md NPPES

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

LEE BURTON BAILEY MD (NPI 1659315117) is an individual family medicine provider in Spearfish, South Dakota, licensed in South Dakota (5193) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2000).

NPPES Registry Identity

NPI1659315117

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLEE BURTON BAILEYCredential: MD

Location Address1440 N MAIN STSpearfish, SD 57783-1505

Mailing Address353 Fairmont Blvd, Atten MssRapid City, SD 57701-7375

Phone(605) 644-4004

Fax(605) 644-4006

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2000

Enumeration DateJune 15, 2006

Last NPPES UpdateJanuary 23, 2013

✔ NPI 1659315117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 5193

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1440 N MAIN ST, Spearfish, SD 57783

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Other Identifiers 3

Medicare PINS41625SD

Medicare UPINH99303

Medicare PINS100941SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan 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

Lee Burton 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 ID2860380300

PECOS Enrollment IDI20040309000479

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 Lee Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Network, Inc.

Same address

Multi-Specialty

1440 N MAIN STREET
Spearfish, SD 57783

Reassigned Medicare billing, South Dakota enrollment
321 clinicians in this Medicare group

NPI 1174569347 (605) 644-4000

Avera St. Luke's

182 mi

Family Medicine

1400 10TH AVE W
Mobridge, SD 57601

Reassigned Medicare billing, South Dakota enrollment
Medicare enrollment name: Avera St Lukes
259 clinicians in this Medicare group

NPI 1639373756 (605) 845-7292

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

192 services175 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

183 services171 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

143 services140 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

82 services82 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

1 supplier12 claims12 services$16.39 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier15 claims15 services$5.18 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 suppliers18 claims18 services$89.39 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 20

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

KRISTEN CROSS PT

Physical Therapist