JAMES PATRICK BAILEY MD
NPI 1962936245
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Green Bay, WI

Q: What is James Bailey's NPI number?

The NPI number for James Bailey is 1962936245. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Q: What is James Bailey's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for James Bailey was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment

720 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-9621(920) 433-0565 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2023, Apr 13, 2017 (2 updates tracked since 2017).

On this page

About James Patrick Bailey Md NPPES

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

JAMES PATRICK BAILEY MD (NPI 1962936245) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Green Bay, Wisconsin, licensed in Wisconsin (82239-20) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962936245

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameJAMES PATRICK BAILEYCredential: MD

Location Address720 S VAN BUREN STGreen Bay, WI 54301-3538

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289

Phone(920) 433-9621

Fax(920) 433-0565

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2017

Enumeration DateApril 13, 2017

Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1962936245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in WI · 82239-20

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

720 S VAN BUREN ST, Green Bay, WI 54301

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Secondary Practice Locations 2

Location 1820 Arbutus AveOconto, WI 54153-2004 · Phone (920) 835-1100

Location 2744 S Webster AveGreen Bay, WI 54301-3581 · Phone (204) 333-5009

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

James Patrick Bailey Md 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 ID9537438619

PECOS Enrollment IDI20231031002963, I20231108002748

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 James Bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bellin Memorial Hospital Inc

Same address

Surgery

720 S VANBUREN ST, SUITE 201
Green Bay, WI 54301

Reassigned Medicare billing, Wisconsin and Michigan enrollments
Also billed through NPI 1033172390 (Michigan)
875 clinicians in this Medicare group

NPI 1104263532 (920) 433-7488

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 7

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.

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

80 services79 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.

51 services51 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.

30 services25 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

18 services18 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.

18 services17 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521358

Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 11

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

HANGER PROSTHETICS & ORTHOTICS EAST INC

Prosthetic/Orthotic Supplier

720 S VAN BUREN ST
GREEN BAY, WI 54301

Brown County (920) 432-4909

GENERAL & VASCULAR CONSULTANTS

Specialist

720 S VAN BUREN ST, SUITE 102
GREEN BAY, WI 54301

Brown County (920) 430-8120

DR. WEN TJOEN YAP M.D.

Specialist

720 S VAN BUREN ST, SUITE 301
GREEN BAY, WI 54301

Brown County (920) 433-9400

SCOTT M GRIEP MS, PA, ATC

Physician Assistant

720 S VAN BUREN ST
GREEN BAY, WI 54301

Brown County (920) 433-9621

MICHAEL CHARLES MCMANUS MD

Urology

720 S VAN BUREN ST, STE 301
GREEN BAY, WI 54301

Brown County (920) 433-9400

GREEN BAY CARDIOTHORACIC & VASCULAR LLC

Internal Medicine (Cardiovascular Disease)

720 S VAN BUREN ST, SUITE 303
GREEN BAY, WI 54301

Brown County (920) 433-9621

WILLIAM ROBERT CONRAD PA

Physician Assistant (Medical)

720 S VAN BUREN ST, SUITE 301
GREEN BAY, WI 54301

Brown County (920) 433-9400

MOLLY BETH HOHOL APNP,CNM

Advanced Practice Midwife

720 S VAN BUREN ST
GREEN BAY, WI 54301

Brown County (920) 468-3444

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 Bailey's NPI number?

The NPI number for James Bailey is 1962936245. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is James Bailey located?

James Bailey practices at 720 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 433-9621.

What is James Bailey's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Bailey enrolled in Medicare?

Yes. James 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 James Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Bailey reassigns Medicare benefits to Bellin Memorial Hospital Inc (Green Bay, WI). 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 James Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Bailey accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Premera Blue Cross Blue Shield of Alaska list James 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 James Bailey affiliated with any hospitals?

According to CMS data, James Bailey is affiliated with Bellin Memorial Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for James Bailey was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.