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SUSAN M BAILEY CNP
NPI 1851643472
Nurse Practitioner - Adult Health in Circleville, OH

Active since October 05, 2012PECOS EnrolledAccepts Medicare Assignment
1180 N COURT ST, CIRCLEVILLE, OH 43113(740) 420-8030(740) 477-8480 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Nov 5, 2020 (2 updates tracked since 2020).

About Susan M Bailey Cnp NPPES

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

SUSAN M BAILEY CNP (NPI 1851643472) is an individual adult health provider in Circleville, Ohio, licensed in Ohio (COA.13813-NP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Berger Hospital, and is a graduate of Ohio State University College Of Medicine (2012).

NPPES Registry Identity

NPI1851643472
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN M BAILEYCredential: CNP
Location Address1180 N COURT STCircleville, OH 43113-1397
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(740) 420-8030
Fax(740) 477-8480
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2012
Enumeration DateOctober 5, 2012
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1851643472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · COA.13813-NP
1180 N COURT ST, Circleville, OH 43113
Open in Google Maps ↗

Other Identifiers 2

Other1851643472OH · Npi
Medicaid0074586OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan M Bailey Cnp 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 ID941451165
PECOS Enrollment IDI20121117000055
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.

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.

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.
202 services136 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.
105 services71 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.
50 services50 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.
37 services12 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
36 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients

Hospital Affiliations CMS Care Compare

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

Berger Hospital

Acute Care Hospitals · Circleville, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360170
Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims1,650 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$22.84 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 9

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

PICKAWAY HEALTH SERVICES
Clinic/Center (Primary Care)
1180 N COURT ST
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8030
DAVID W WINELAND
Optometrist
1180 N COURT ST, SUITE F
CIRCLEVILLE, OH 43113
Pickaway County (740) 477-2504
KEVIN M SELLERS MD
Family Medicine
1180 N COURT ST
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8030
PICKAWAY DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1180 N COURT ST, SUITE E
CIRCLEVILLE, OH 43113
Pickaway County (740) 477-2072
ELIZABETH KATHRYN OGLE CNP
Nurse Practitioner (Family)
1180 N COURT ST
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8030
DIALYSIS SERVICES OF CENTRAL OHIO, INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1180 N COURT ST
CIRCLEVILLE, OH 43113
Pickaway County (614) 221-8920
DR. WILLIAM FLINN BALL JR. DO
Family Medicine
1180 N COURT ST
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8030
APRIL LEANN TIPTON D.O.
Family Medicine
1180 N COURT ST
CIRCLEVILLE, OH 43113
Pickaway County (740) 420-8030

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 Susan Bailey's NPI number?

The NPI number for Susan Bailey is 1851643472. It was assigned to this individual provider in the NPPES registry on October 5, 2012.

Where is Susan Bailey located?

Susan Bailey practices at 1180 N Court St, Circleville, OH 43113. The listed phone number is (740) 420-8030.

What is Susan Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Bailey enrolled in Medicare?

Yes. Susan 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.

What insurance does Susan Bailey accept?

Health plans from CareSource and MedMutual list Susan 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 Susan Bailey affiliated with any hospitals?

According to CMS data, Susan Bailey is affiliated with Berger Hospital.

When was this NPI record last updated?

The NPPES record for Susan Bailey was last updated on January 25, 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.