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DR. JUSTIN BAILEY MD
NPI 1992784243
Internal Medicine in Charleston, WV

Active since January 14, 2006PECOS EnrolledAccepts Medicare Assignment
300 KENTON DR, SUITE 100, CHARLESTON, WV 25311(304) 346-5533(304) 346-5611 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Bailey Md NPPES

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

DR. JUSTIN BAILEY MD (NPI 1992784243) is an individual internal medicine provider in Charleston, West Virginia, licensed in West Virginia (20410) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (1999).

NPPES Registry Identity

NPI1992784243
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUSTIN BAILEYCredential: MD
Location Address300 KENTON DR, SUITE 100Charleston, WV 25311-1263
Mailing Address300 Kenton Dr, Suite 100Charleston, WV 25311-1263 · (304) 346-5533 · Fax (304) 346-5611
Phone(304) 346-5533
Fax(304) 346-5611
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1999
Enumeration DateJanuary 14, 2006
Last NPPES UpdateAugust 7, 2013
✔ NPI 1992784243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 20410
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 KENTON DR, Charleston, WV 25311
Open in Google Maps ↗

Other Identifiers 8

Other1447349238WV · Npi Number For Group
Other001706175WV · Blue Cross For Group
Medicare UPINY21949WV
OtherP00215125WV · Railroad Medicare Number For Group
OtherDC7713WV · Umwa Number For Group
OtherP00189318WV · Umwa Pin Number For Group
Medicaid3810001081WV
Medicare PINMO9348961WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Justin 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 ID8123082385
PECOS Enrollment IDI20041208000056
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.

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.
312 services312 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.
253 services171 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.
221 services207 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
96 services95 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
91 services91 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Montgomery General Hospital, Inc

Critical Access Hospitals · Montgomery, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511318
Location401 Sixth AvenueMontgomery, WV 25136 · Fayette County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25311 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers44 claims142 services$5.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims25 services$0.94 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims67 services$2.03 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$83.21 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$31.39 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 14

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

TERESA MCCLUNG SITLER MD
Internal Medicine
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533
COLEY DUNIGAN
Counselor
300 KENTON DR, SUITE 200
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
JENNIFER BOGAR
Counselor (Professional)
300 KENTON DR, SUITE 200
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
JAMIE CARRIER
Counselor
300 KENTON DR
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
MRS. ALICIA BETH HARPER RN, MSN, FNP-C
Nurse Practitioner (Family)
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533
DR. ELIZABETH JOHNSON YOUNG MD
Internal Medicine
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533
JENNIFER CRUM
Counselor
300 KENTON DR
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
MOUNTAIN STATE MEDICAL ASSOCIATES PLLC
Internal Medicine
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533

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 Justin Bailey's NPI number?

The NPI number for Justin Bailey is 1992784243. It was assigned to this individual provider in the NPPES registry on January 14, 2006.

Where is Justin Bailey located?

Justin Bailey practices at 300 Kenton Dr Suite 100, Charleston, WV 25311. The listed phone number is (304) 346-5533.

What is Justin Bailey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Bailey enrolled in Medicare?

Yes. Justin 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 Justin Bailey accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Justin 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 Justin Bailey affiliated with any hospitals?

According to CMS data, Justin Bailey is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital, Montgomery General Hospital, Inc and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Justin Bailey was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.