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KEVIN BAILEY DO
NPI 1730613688
Orthopaedic Surgery - Sports Medicine in Sandusky, OH

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
1401 BONE CREEK DR, SANDUSKY, OH 44870(419) 625-4900(419) 621-9768 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Apr 18, 2017 (2 updates tracked since 2017).

About Kevin Bailey Do NPPES

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

KEVIN BAILEY DO (NPI 1730613688) is an individual sports medicine provider in Sandusky, Ohio, licensed in Ohio (34.013577) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1730613688
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameKEVIN BAILEYCredential: DO
Location Address1401 BONE CREEK DRSandusky, OH 44870-7267
Mailing Address1912 Hayes AveSandusky, OH 44870-4736 · (419) 515-7887
Phone(419) 625-4900
Fax(419) 621-9768
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1730613688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in OH · 34.013577
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1401 BONE CREEK DR, Sandusky, OH 44870
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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

Kevin Bailey 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 ID8729358148
PECOS Enrollment IDI20230821000464
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 Reassignment

Medicare enrollment records show Kevin Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Coast Professional Company, LLC
0.8 mi
Internal Medicine
1912 HAYES AVE STE 1E
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 182 clinicians in this Medicare group
NPI 1881648210 (419) 557-5541

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 9

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.

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.
573 services102 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.
132 services93 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
120 services92 patients
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.
73 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

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.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

MR. NICHOLAS D REIMER DPT
Physical Therapist
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900
SANDUSKY ORTHOPEDIC SURGEONS INC
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900
THOMAS A OLEXA MD
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900
JAIME L BENTLEY PT
Physical Therapist
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 621-0035
ROBERT MILLER CARLISLE II M.D.
Orthopaedic Surgery
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900
THOMAS PATRICK FELTER M.D.
Anesthesiology (Pain Medicine)
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900
MR. STEPHEN P SNEIDER PT
Physical Therapist
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900
MRS. NICHOLE CARMELLA SUTHERLAND CNP, APRN
Nurse Practitioner
1401 BONE CREEK DR
SANDUSKY, OH 44870
Erie County (419) 625-4900

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 Kevin Bailey's NPI number?

The NPI number for Kevin Bailey is 1730613688. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Kevin Bailey located?

Kevin Bailey practices at 1401 Bone Creek Dr, Sandusky, OH 44870. The listed phone number is (419) 625-4900.

What is Kevin Bailey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kevin Bailey enrolled in Medicare?

Yes. Kevin Bailey 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.

Which organization bills Medicare for Kevin Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Bailey reassigns Medicare benefits to North Coast Professional Company, LLC (Sandusky, OH). The 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 Kevin Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Bailey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kevin Bailey 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.

Is Kevin Bailey affiliated with any hospitals?

According to CMS data, Kevin Bailey is affiliated with Firelands Regional Medical Center, Bellevue Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Bailey was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.