BRADLEY JAMES BILBRO DO
NPI 1659893337
Family Medicine in Madisonville, KY

Q: What is Bradley Bilbro's NPI number?

The NPI number for Bradley Bilbro is 1659893337. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Q: What is Bradley Bilbro'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 Bradley Bilbro was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 13, 2017PECOS EnrolledAccepts Medicare Assignment

1851 N MAIN ST, MADISONVILLE, KY 42431(270) 825-7268 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2020, Jul 2, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Bradley James Bilbro Do NPPES

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

BRADLEY JAMES BILBRO DO (NPI 1659893337) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (04605) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains a secondary practice location in Madisonville.

NPPES Registry Identity

NPI1659893337

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRADLEY JAMES BILBROCredential: DO

Location Address1851 N MAIN STMadisonville, KY 42431-9024

Mailing Address800 Hospital DrMadisonville, KY 42431-1658 · (270) 326-3900 · Fax (270) 326-3905

Phone(270) 825-7268

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 13, 2017

Last NPPES UpdateDecember 10, 20204 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1659893337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 04605

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.

1851 N MAIN ST, Madisonville, KY 42431

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Secondary Practice Location 1

Location 1800 Hospital DrMadisonville, KY 42431-1658 · Phone (270) 326-3900 · Fax (270) 326-3905

Other Identifiers 1

Medicaid7100508650KY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley James Bilbro Do 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 ID941572283

PECOS Enrollment IDI20170821002207

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 Bradley Bilbro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc

Same address

Rural Health

1851 N MAIN ST
Madisonville, KY 42431

Reassigned Medicare billing, Kentucky enrollment
1,441 clinicians in this Medicare group

NPI 1730734229 (270) 825-7268

Deaconess Clinc Inc

Same address

Dermatology

1851 N MAIN ST
Madisonville, KY 42431

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Deaconess Clinic Inc
174 clinicians in this Medicare group

NPI 1053077107 (812) 450-6859

Community United Methodist Hospital Inc

1.8 mi

Obstetrics & Gynecology

44 MCCOY AVE
Madisonville, KY 42431

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Methodist Health, Inc.
125 clinicians in this Medicare group

NPI 1639502966 (270) 821-6818

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 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.

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.

457 services173 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

117 services117 patients

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.

76 services14 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

57 services24 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

53 services33 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.

52 services36 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

42 services40 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

35 services34 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

17 services17 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Women's Hospital The

Acute Care Hospitals · Newburgh, IN

5/5 CMS rating

OwnershipProprietary

CMS Certification Number150149

Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County

Emergency services Birthing friendly

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180056

Location1305 N Elm StHenderson, KY 42420 · Henderson County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Methodist Hospital Union County

Critical Access Hospitals · Morganfield, KY

OwnershipVoluntary non-profit - Church

CMS Certification Number181306

Location4604 Us Highway 60 WestMorganfield, KY 42437 · Union County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers16 claims16 services$3.62 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 11

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

SARAH RUTH PEYTON FNP

Nurse Practitioner (Family)