1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Surgery
  6. NPI Profile

DR. PAUL D BAILEY M.D.
NPI 1972983625
Surgery in Hackensack, NJ

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
20 PROSPECT AVE STE 703, HACKENSACK, NJ 07601(551) 996-4424(551) 996-2021 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2021, Oct 9, 2020 (2 updates tracked since 2020).

About Dr. Paul D Bailey M.d. NPPES

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

DR. PAUL D BAILEY M.D. (NPI 1972983625) is an individual surgery provider in Hackensack, New Jersey, licensed in Florida (ME150802) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2015).

NPPES Registry Identity

NPI1972983625
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PAUL D BAILEYCredential: M.D.
Location Address20 PROSPECT AVE STE 703Hackensack, NJ 07601-1963
Mailing Address20 Prospect Ave Ste 703Hackensack, NJ 07601-1963 · (551) 996-4424
Phone(551) 996-4424
Fax(551) 996-2021
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2015
Enumeration DateJune 8, 2015
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1972983625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in FL · ME150802✔ Licensed in NJ · 25MA10697000
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.
20 PROSPECT AVE STE 703, Hackensack, NJ 07601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Dr. Paul D 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 ID6204256456
PECOS Enrollment IDI20210811004481
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 2

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.

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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Advance Care Plan
70%215 patients3/55-star benchmark: 100%
Breast Cancer Screening
0%124 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%244 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
21%81 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
11%255 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
33%228 patients2/55-star benchmark: 91%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
0%73 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
4%104 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
64%104 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
69%963 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%115 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%468 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%491 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
9%449 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 467 patients
Patients screened: 88% · 467 patients
52%60 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 57% · 196 patients
57%196 patients
Provide Patients Electronic Access to Their Health Information
92%264 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
0%55 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
61%184 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 123 patients
Patients totalRate: 4% · 123 patients
4%123 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

MRS. SHARON R MELTZER PA
Physician Assistant
20 PROSPECT AVE STE 703
HACKENSACK, NJ 07601
Bergen County (551) 996-4424
MS. PALAK NALIN PATEL P.A.
Physician Assistant
20 PROSPECT AVE STE 703
HACKENSACK, NJ 07601
Bergen County (551) 996-4424
MICHAEL MINA PA-C
Physician Assistant
20 PROSPECT AVE STE 703
HACKENSACK, NJ 07601
Bergen County (551) 996-4424
TRIXIA MORA APRN, FNP-BC
Nurse Practitioner
20 PROSPECT AVE STE 703
HACKENSACK, NJ 07601
Bergen County (551) 996-4424

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 Paul Bailey's NPI number?

The NPI number for Paul Bailey is 1972983625. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Paul Bailey located?

Paul Bailey practices at 20 Prospect Ave Ste 703, Hackensack, NJ 07601. The listed phone number is (551) 996-4424.

What is Paul Bailey's specialty?

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

Is Paul Bailey enrolled in Medicare?

Yes. Paul 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 Paul Bailey accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Paul 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 Paul Bailey affiliated with any hospitals?

According to CMS data, Paul Bailey is affiliated with Ascension St Vincent's Riverside, Baptist Medical Center Beaches, Ascension St Vincent's Southside and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Paul Bailey was last updated on July 29, 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.