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DR. ERIN ELIZABETH BAILEY M.D.
NPI 1912261306
Surgery in Canton, IL

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-6880 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2021, Mar 30, 2021, Jul 31, 2017 and 3 more (6 updates tracked since 2016).

About Dr. Erin Elizabeth Bailey M.d. NPPES

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

DR. ERIN ELIZABETH BAILEY M.D. (NPI 1912261306) is an individual surgery provider in Canton, Illinois, licensed in Illinois (036143165) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).

NPPES Registry Identity

NPI1912261306
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ERIN ELIZABETH BAILEYCredential: M.D.
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S. Main St.Canton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-6880
Phone(309) 647-0201
Fax(309) 649-6880
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateJune 29, 2012
Last NPPES UpdateApril 6, 20216 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1912261306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036143165
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
180 S MAIN ST, Canton, IL 61520
Open in Google Maps ↗

Other Identifiers 1

Other036143165IL · Illinois License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Erin Elizabeth Bailey M.d. 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 ID5799927307
PECOS Enrollment IDI20170808000087
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 Erin Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Graham Hospital Association
Same address
Rural Health
180 S MAIN ST
Canton, IL 61520
  • Reassigned Medicare billing, Illinois enrollment
  • 134 clinicians in this Medicare group
NPI 1205072626 (309) 647-0201

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 6

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
66 services63 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
47 services47 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

Other Providers at the Same Location NPPES 20

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

SPOON RIVER HEARING SERVICES INC
Audiologist
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
A KURT SAVEGNAGO MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JOHN M MCCARTHY MD
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MS. DARA MARIE WAGNER APN-C
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JESSICA LYNN BUGOS APRN
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
STEPHEN WESTHAFER
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MR. JARED MATTHEW GRZANICH P.A.-C
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
SUZANNE E HOLTHAUS MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201

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 Erin Bailey's NPI number?

The NPI number for Erin Bailey is 1912261306. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Erin Bailey located?

Erin Bailey practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Erin Bailey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erin Bailey enrolled in Medicare?

Yes. Erin 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 Erin Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Bailey reassigns Medicare benefits to Graham Hospital Association (Canton, IL). 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 Erin Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Bailey accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Erin 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 Erin Bailey affiliated with any hospitals?

According to CMS data, Erin Bailey is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Erin Bailey was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.