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Active NPI 1891778254 Individual Practitioner Male Practitioner

Samuel A Bailey , PA

Physician Assistant • Maryville, IL

Professional Overview & Biography Verified Profile Summary

Samuel Bailey, PA is a registered healthcare professional specializing in Physician Assistant in Maryville, IL. Practice services are available at 6800 STATE ROUTE 162 under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6800 State Route 162

Maryville, IL 620628500

Telephone 8009686866
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maryville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Maryville, IL (4958 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.2% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
84 81 $857.00 $104.94
99285 Emergency department visit for life threatening or functioning severity
33 33 $1277.00 $151.79
99283 Emergency department visit with low level of medical decision making
26 26 $573.00 $61.49

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 85001646

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IL 085-001646

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Shield
085001646 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Timothy Thompson , DO

Emergency Medicine

NPI 1033105697

Doctor of Osteopathic Medicine (D.O.)

Dr. Steven Perry , DO

Emergency Medicine

NPI 1043205123

Doctor of Osteopathic Medicine (D.O.)

Dr. David Wilcox , DO

Family Medicine

NPI 1073512539

Doctor of Osteopathic Medicine (D.O.)

James Dernocoeur , PA

Physician Assistant - Medical

NPI 1083609374

Physician Assistant

Dr. Mahmoud Saleh , MD

Emergency Medicine

NPI 1083697122

Doctor of Medicine (M.D.)

Brietta Allen , MSW

Social Worker

NPI 1093283673

Master of Social Work

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2008

Registered at 6800 STATE ROUTE 162, MARYVILLE, IL 620628500 (Tel: 8009686866)

📍
Updated Business Mailing Address April 24, 2008

Registered at PO BOX 66971, SAINT LOUIS, MO 631666971 (Tel: 8009686866)

👤
Provider Name / Credentials Updated April 24, 2008

Recorded as SAMUEL BAILEY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Emergency Medicine (License #085-001646 in IL)

🟢
Initial NPI Registration & Enumeration November 21, 2005

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: 1891778254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2005
Last Update: April 24, 2008
Sole Proprietor: No

Mailing Address

Po Box 66971

Saint Louis, MO 631666971

Phone: 8009686866

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.