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ERICA L BAILEN M.D.
NPI 1710077888
Pediatrics in Louisville, KY

Active since October 13, 2006PECOS Enrolled
100 MALLARD CREEK RD STE 395, LOUISVILLE, KY 40207(502) 895-9421(502) 899-5762 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erica L Bailen M.d. NPPES

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

ERICA L BAILEN M.D. (NPI 1710077888) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (45212) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710077888
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameERICA L BAILENCredential: M.D.
Location Address100 MALLARD CREEK RD STE 395Louisville, KY 40207-5167
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 895-9421
Fax(502) 899-5762
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1710077888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 45212
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MALLARD CREEK RD STE 395, Louisville, KY 40207
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Other Identifiers 2

Medicaid001404100FL
Medicaid5917585NC

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 (PECOS)

Erica L Bailen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Erica Bailen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musculoskeletal Associates PLLC
0.5 mi
Neuromusculoskeletal Medicine & OMM
506 EXECUTIVE PARK
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1477900629 (502) 822-6603
Community Medical Associates, Inc.
3.8 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Norton Children's Medical Group, LLC
5.7 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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.

Other Providers at the Same Location NPPES 5

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

MEREDITH KAY IRWIN M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
GREGORY EDWARD SHAW
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
DR. JENNIFER LOGAN SEGELEON M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
DR. CARA GARCIA PRICE M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
DR. KELLY N PRINGLE MD
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421

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 Erica Bailen's NPI number?

The NPI number for Erica Bailen is 1710077888. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Erica Bailen located?

Erica Bailen practices at 100 Mallard Creek Rd Ste 395, Louisville, KY 40207. The listed phone number is (502) 895-9421.

What is Erica Bailen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erica Bailen enrolled in Medicare?

Yes. Erica Bailen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erica Bailen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Bailen reassigns Medicare benefits to 3 organizations: Musculoskeletal Associates PLLC (Louisville, KY), Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Bailen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Bailen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Erica Bailen 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.

When was this NPI record last updated?

The NPPES record for Erica Bailen was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.