Active NPI 1053378976 Individual Practitioner Male Practitioner

Dr. Timothy S Bailey , MD

Surgery • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Bailey, MD is a registered healthcare professional specializing in Surgery in Decatur, IL. Practice services are available at 1 MEMORIAL DR STE 300 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Memorial Dr Ste 300

Decatur, IL 625266322

Telephone 2178765500

Fax 2178765505

Associated Practice Facility / Clinic

🏢 Decatur Memorial Hospital Facility NPI 1609879097

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Decatur, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.1 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

18 Specialists

Practicing in Decatur, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	36	$261.71	$71.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	44	$376.08	$102.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$334.91	$137.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$224.33	$100.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$89.45	$35.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$234.08	$84.18
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$152.50	$67.87
45380 Biopsy of large bowel using an endoscope	15	15	$890.60	$178.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$497.00	$129.07
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$165.15	$49.81
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$3225.13	$747.35
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1491.46	$180.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$731.83	$199.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	44	$87.04	$26.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$228.52	$76.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	42	$254.24	$73.09
11042 Removal of skin and tissue, 20.0 sq cm or less	65	30	$411.34	$60.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	47	$366.40	$105.24
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$148.78	$52.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$219.80	$80.18
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$360.17	$103.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$328.68	$126.84
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$160.21	$51.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$3116.65	$756.95
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$1457.41	$187.22
49650 Repair of groin hernia using an endoscope	11	11	$2157.45	$472.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	265	72	$85.95	$25.55
11042 Removal of skin and tissue, 20.0 sq cm or less	125	34	$380.66	$62.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$222.91	$76.52
99183 Management and supervision of oxygen chamber therapy per session	89	12	$454.27	$111.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	39	$255.86	$72.68
99213 Established patient office or other outpatient visit, typically 15 minutes	65	61	$145.54	$51.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	42	$369.59	$103.89
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$157.00	$50.73
45380 Biopsy of large bowel using an endoscope	24	24	$847.64	$192.76
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$368.71	$101.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$783.30	$187.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$140.61	$39.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$486.98	$137.05
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$3001.13	$745.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$213.60	$78.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$321.14	$122.23
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1421.00	$192.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$583.55	$111.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	313	84	$98.90	$25.16
11042 Removal of skin and tissue, 20.0 sq cm or less	136	43	$250.16	$61.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$289.76	$75.82
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	93	11	$107.80	$26.99
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$193.56	$50.42
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$195.28	$50.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	24	$418.12	$103.21
97597 Removal of tissue from wound, 20.0 sq cm or less	27	14	$93.80	$23.82
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$408.92	$100.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$287.66	$77.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$288.92	$72.08
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1409.00	$184.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$157.76	$38.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$743.18	$182.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3112.36	$732.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$502.87	$120.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	87	$113.43	$50.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	62	$80.48	$24.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$171.04	$76.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	38	$187.43	$71.08
11042 Removal of skin and tissue, 20.0 sq cm or less	76	38	$350.36	$61.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	36	$122.13	$38.81
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$117.14	$49.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$338.00	$135.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$166.04	$77.36
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$3644.72	$714.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$1178.90	$125.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	16	$359.98	$102.86
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$1282.28	$189.97
45380 Biopsy of large bowel using an endoscope	20	20	$1512.34	$178.80
97597 Removal of tissue from wound, 20.0 sq cm or less	19	13	$147.86	$23.09
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1409.00	$190.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$43.24	$9.05
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1015.13	$106.80
49650 Repair of groin hernia using an endoscope	11	11	$1784.38	$395.70

Medical Specialties & State Licenses

CMS Verified: 2021-10-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036081501

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036081501 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Ranjodh Singh , MD

Surgery

NPI 1013161538

Doctor of Medicine (M.D.)

Dr. Albert Gilman , MD

Surgery

NPI 1225094436

Doctor of Medicine (M.D.)

Dr. George Liu , MD

Surgery

NPI 1528164951

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 20, 2021

Registered at 1 MEMORIAL DR STE 300, DECATUR, IL 625266322 (Tel: 2178765500)

✅

NPI Profile Active August 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2014

Registered at 302 W HAY ST, STE. 140, DECATUR, IL 625264167 (Tel: 2178775421)

📍

Updated Business Mailing Address August 20, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178775421)

👤

Provider Name / Credentials Updated August 20, 2014

Recorded as TIMOTHY BAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2014

Surgery (License #036081501 in IL)

🟢

Initial NPI Registration & Enumeration April 26, 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: 1053378976

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: October 20, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178775421

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.