Active NPI 1033173885 Individual Practitioner Male Practitioner

Dr. James Mark Bailey , DO, PhD

Specialist • Birmingham, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Bailey, DO, PhD is a certified Specialist practicing in Birmingham, AL. With approximately 34 years of clinical experience since graduating from Pacific Medical College in 1992, Dr. Bailey delivers high-quality medical care to the local community at 1201 11TH AVE S STE 3800.

Dr. Bailey is affiliated with University Of Alabama Health Services Foundation, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1201 11th Ave S Ste 3800

Birmingham, AL 352053423

Telephone 2059308400

Fax 2059308900

Medicare Profile & Education

Medical School

Pacific Medical College

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Birmingham, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs -2.3 yrs vs City Avg

City Avg: 36.3 Yrs

State Avg: 34.8 Yrs

Regional Practice Density

98 Specialists

Practicing in Birmingham, AL (611 Statewide)

Telehealth Adoption Rate

5.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (34 Years) 34 Yrs

Birmingham Specialty Average (36.3 Years) 36.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	726	92	$246.00	$114.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	696	87	$35.00	$15.13
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	122	82	$35.00	$15.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	74	$246.00	$88.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	691	99	$246.00	$89.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	66	$246.00	$91.73
99443 Telephone medical discussion with physician, 21-30 minutes	82	23	$215.00	$91.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$509.00	$169.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	480	80	$246.00	$89.72
99443 Telephone medical discussion with physician, 21-30 minutes	198	47	$215.00	$95.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	67	$246.00	$96.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$509.00	$179.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	634	105	$246.16	$97.96
99443 Telephone medical discussion with physician, 21-30 minutes	173	50	$215.00	$98.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	23	$246.00	$49.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$349.00	$144.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	597	118	$246.00	$77.57
99443 Telephone medical discussion with physician, 21-30 minutes	343	87	$146.78	$77.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	17	$246.00	$53.11
99358 Prolonged patient service without direct patient contact first hour	34	34	$266.00	$109.53
99442 Telephone medical discussion with physician, 11-20 minutes	31	31	$65.00	$49.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$509.00	$165.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	638	158	$246.00	$75.49
99358 Prolonged patient service without direct patient contact first hour	113	113	$266.00	$106.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$509.00	$160.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$349.00	$106.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	570	140	$246.00	$74.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$509.00	$159.05
99358 Prolonged patient service without direct patient contact first hour	14	14	$266.00	$105.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	158	$246.00	$96.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	124	$246.00	$74.37
80305 Testing for presence of drug, read by direct observation	106	92	$25.00	$14.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$509.00	$192.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$361.00	$129.25

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL DO-347

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000094309 (AL)

Hospital & Practice Group Affiliations

University Of Alabama Health Services Foundation, Pc

619 19th St S, Birmingham, AL 352491900

Phone: 2059344011

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 20, 2018

Registered at 1201 11TH AVE S STE 3800, BIRMINGHAM, AL 352053423 (Tel: 2059308400)

📍

Updated Business Mailing Address March 20, 2018

Registered at 1201 11TH AVE S STE 3800, BIRMINGHAM, AL 352053423 (Tel: 2059308400)

✅

NPI Profile Active January 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2010

Registered at 1201 11TH AVE S, UAB PAIN TREATMENT CLINIC, BIRMINGHAM, AL 352053410 (Tel: 2059308966)

📍

Updated Business Mailing Address January 21, 2010

Registered at 197 CAHABA FARMS DR, INDIAN SPRINGS, AL 351243532 (Tel: 2059894898)

👤

Provider Name / Credentials Updated January 21, 2010

Recorded as JAMES BAILEY, D.O., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2010

Specialist (License #DO-347 in AL)

🟢

Initial NPI Registration & Enumeration April 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033173885

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 17, 2006

Last Update: March 20, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1201 11th Ave S Ste 3800

Birmingham, AL 352053423

Phone: 2059308400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.