DR. EVA J BAILEY M.D.
NPI 1669476990
Pain Medicine - Pain Medicine in Fort Worth, TX

NPI Status: Active since May 23, 2005

Contact Information

823 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 332-3664
Fax: (817) 882-9888

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  • Individual
  • Female
  • Years of Experience 43
  • Pain Medicine
  • Pain Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About EVA BAILEY

This page provides the complete NPI Profile along with additional information for Eva Bailey, a provider established in Fort Worth, Texas with a medical specialization in Pain Medicine and more than 43 years of experience. She graduated from Eastern Virginia Medical School in 1983. The healthcare provider is registered in the NPI registry with number 1669476990 assigned on May 2005. The practitioner's primary taxonomy code is 208VP0000X with license number H5299 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1669476990
Provider Name
DR. EVA J BAILEY M.D.
Gender
Female
Entity Type
Individual
Location Address
823 PENNSYLVANIA AVE FORT WORTH, TX 76104
Location Phone
(817) 332-3664
Location Fax
(817) 882-9888
Mailing Address
PO BOX 2457 FORT WORTH, TX 76113
Mailing Phone
(817) 332-3664
Mailing Fax
(817) 882-9888
Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year
1983
Is Sole Proprietor?
No
Enumeration Date
05-23-2005
Last Update Date
11-21-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
License No.
H5299
License State
TX
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
079577501MEDICAID (05)TX 
0040CGOTHER (01)TXBCBSTX GROUP ID
038391101MEDICAID (05)TX 
82931GOTHER (01)TXBCBSTX PROVIDER ID

Medicare Participation & PECOS Enrollment Status

Eva Bailey is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Eva Bailey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264416643

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130918000106

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.4 for a new patient copayment and $24.92 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 76104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.63
  • Minimum New Patient Price $56.47
  • Maximum New Patient Price $171.07
  • Average New Patient Copayment $32.4
  • Minimum New Patient Copayment $14.11
  • Maximum New Patient Copayment $42.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.68
  • Minimum Established Patient Price $18.18
  • Maximum Established Patient Price $139.68
  • Average Established Patient Copayment $24.92
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.92

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 7% 28
Documentation of Current Medications in the Medical Record 64% 90
Falls: Screening for Future Fall Risk 13% 38
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 23% 75
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 11% 72
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 10% 86
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 76% 68
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84% 68
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
40
Use of High-Risk Medications in Older Adults 13% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
40
Use of High-Risk Medications in Older Adults 13% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
40

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669476990, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 8 + 7 + 1 + 2 + 9 + 1 + 8 + 24 = 80

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 80 is 80. The difference is the calculated check digit.

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1669476990.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
823 PENNSYLVANIA AVE
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669476990, enumerated as an "individual" on May 23, 2005.

The provider is located at 823 PENNSYLVANIA AVE FORT WORTH, TX 76104 and the phone number is (817) 332-3664.

Pain Medicine with taxonomy code 208VP0000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.