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JAMES R BAILES JR. MD
NPI 1891759031
Pediatrics in Huntington, WV

Active since April 14, 2006PECOS Enrolled
1115 20TH ST STE 105, HUNTINGTON, WV 25703(304) 399-4141(304) 399-4145 Get Directions Write a Review

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

Record update history: Feb 25, 2022, Apr 13, 2021 (2 updates tracked since 2021).

About James R Bailes Jr. Md NPPES

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

JAMES R BAILES JR. MD (NPI 1891759031) is an individual pediatrics provider in Huntington, West Virginia, licensed in West Virginia (17593) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891759031
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES R BAILES JR.Credential: MD
Location Address1115 20TH ST STE 105Huntington, WV 25703-2071
Mailing Address1340 Hal Greer Boulevard, Attn: Tammie SilvaHuntington, WV 25701-3800 · (304) 526-2053
Phone(304) 399-4141
Fax(304) 399-4145
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1891759031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 17593
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.
1115 20TH ST STE 105, Huntington, WV 25703
Open in Google Maps ↗

Other Identifiers 2

Medicaid0921346OH
Medicaid0108955000WV

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James R Bailes Jr. Md 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

2

Medicare enrollment records show James Bailes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohio Valley Physicians Inc
0.5 mi
Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
NPI 1962433177 (304) 781-0076
Ovp Health Care Inc
6.1 mi
Family Medicine
6276 COUNTY ROAD 107
Proctorville, OH 45669
  • Reassigned Medicare billing, Ohio and Kentucky enrollments
  • Also billed through NPI 1457975088 (Kentucky)
  • 19 clinicians in this Medicare group
NPI 1518597988 (740) 451-4000

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 25703 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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 James Bailes's NPI number?

The NPI number for James Bailes is 1891759031. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is James Bailes located?

James Bailes practices at 1115 20th St Ste 105, Huntington, WV 25703. The listed phone number is (304) 399-4141.

What is James Bailes's specialty?

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

Is James Bailes enrolled in Medicare?

Yes. James Bailes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Bailes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Bailes reassigns Medicare benefits to 2 organizations: Ohio Valley Physicians Inc (Huntington, WV) and Ovp Health Care Inc (Proctorville, OH). 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 James Bailes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Bailes accept?

Health plans from CareSource and Molina Healthcare list James Bailes 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 James Bailes was last updated on February 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.