Active NPI 1144584905 Individual Practitioner Male Practitioner

Dr. James Robert Bailey , MD

Internal Medicine • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Bailey, MD is a certified Internal Medicine practicing in Indianapolis, IN. With approximately 18 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2008, Dr. Bailey delivers high-quality medical care to the local community at 1001 W 10TH ST # M200.

Dr. Bailey is affiliated with Specialty Physicians Of Blanchard Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 W 10th St # M200

Indianapolis, IN 462022859

Telephone 6068314756

Associated Practice Facility / Clinic

🏢 Indiana University School Of Medicine Facility NPI 1881825503

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Indianapolis, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -1.6 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

730 Specialists

Practicing in Indianapolis, IN (2204 Statewide)

Telehealth Adoption Rate

9.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (18 Years) 18 Yrs

Indianapolis Specialty Average (19.6 Years) 19.6 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	306	195	$238.00	$119.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	168	159	$863.00	$69.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	157	155	$1147.00	$227.74
45380 Biopsy of large bowel using an endoscope	130	128	$1014.00	$64.39
99213 Established patient office or other outpatient visit, typically 15 minutes	66	61	$168.00	$85.43
43249 Balloon dilation of esophagus using an endoscope	35	33	$350.00	$102.72
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	34	33	$1092.00	$158.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$209.00	$105.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$252.00	$123.81
36415 Insertion of needle into vein for collection of blood sample	23	19	$18.00	$8.65
45378 Diagnostic exam of large bowel using a flexible endoscope	21	20	$852.00	$142.65
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$679.00	$94.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$312.00	$150.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$133.00	$74.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$818.00	$172.45

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	310	182	$238.00	$121.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	187	169	$863.00	$65.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	143	139	$1147.00	$231.59
45380 Biopsy of large bowel using an endoscope	132	130	$1014.00	$69.94
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$168.00	$85.99
43249 Balloon dilation of esophagus using an endoscope	42	41	$350.00	$116.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$312.00	$152.13
36415 Insertion of needle into vein for collection of blood sample	32	25	$18.00	$8.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$251.19	$125.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	18	$133.00	$76.47
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	19	$679.00	$103.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$818.00	$152.04
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$852.00	$153.20
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	17	14	$1092.00	$176.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$209.00	$106.93
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$947.00	$174.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$426.00	$164.91

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	263	151	$182.55	$123.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	161	149	$863.00	$80.42
45380 Biopsy of large bowel using an endoscope	119	118	$1014.00	$89.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	107	105	$1147.00	$239.56
99213 Established patient office or other outpatient visit, typically 15 minutes	91	78	$124.00	$87.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$283.00	$162.77
36415 Insertion of needle into vein for collection of blood sample	49	39	$25.00	$2.97
45378 Diagnostic exam of large bowel using a flexible endoscope	26	25	$852.00	$155.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$125.00	$69.13
43249 Balloon dilation of esophagus using an endoscope	24	21	$350.00	$124.68
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	14	14	$1092.00	$149.25
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$679.00	$114.94

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	203	137	$185.60	$125.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	145	142	$851.26	$74.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$285.50	$161.91
45380 Biopsy of large bowel using an endoscope	86	86	$1013.69	$128.10
36415 Insertion of needle into vein for collection of blood sample	83	65	$25.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	70	60	$124.39	$88.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	65	65	$1145.92	$235.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$263.06	$132.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	22	$125.00	$70.48
43249 Balloon dilation of esophagus using an endoscope	32	32	$412.25	$127.92
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$850.40	$157.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$184.62	$109.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$77.14	$37.32
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$668.47	$101.67

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	76	55	$227.00	$100.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	54	$732.00	$73.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$348.00	$155.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	39	$340.63	$133.57
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$151.00	$70.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	22	$108.47	$38.14
45380 Biopsy of large bowel using an endoscope	24	23	$1005.00	$129.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1135.42	$240.53
43249 Balloon dilation of esophagus using an endoscope	16	16	$726.31	$141.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$629.00	$106.18
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$840.00	$182.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$225.00	$101.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$92.00	$37.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$227.00	$93.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$347.99	$154.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$732.00	$91.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$301.00	$131.11
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$151.00	$64.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1136.00	$217.58
45380 Biopsy of large bowel using an endoscope	11	11	$1005.00	$89.24

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 11016645A

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.

Hospital & Practice Group Affiliations

Specialty Physicians Of Blanchard Valley Llc

1818 Chapel Dr, Findlay, OH 458401344

Phone: 4194297637

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Vindhya Veerula , MD

Dermatology

NPI 1104180793

Doctor of Medicine (M.D.)

Dr. Judy Gichoya , MD

Radiology - Vascular & Interventional Radiology

NPI 1174963557

Doctor of Medicine (M.D.)

Dr. Sufyan Sial , MD

Hospitalist

NPI 1316201833

Doctor of Medicine (M.D.)

Dr. Upasana Jarori , MD

Internal Medicine

NPI 1689011843

Doctor of Medicine (M.D.)

Dr. Gabriel Krause , MD

Anesthesiology

NPI 1790049666

Doctor of Medicine (M.D.)

Dr. Virginia Reed , MD

Internal Medicine

NPI 1790958130

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2012

Registered at 1001 W 10TH ST # M200, INDIANAPOLIS, IN 462022859 (Tel: 6068314756)

📍

Updated Business Mailing Address September 30, 2012

Registered at 151 S EAST ST, APT 111, INDIANAPOLIS, IN 462024074 (Tel: 3176564260)

👤

Provider Name / Credentials Updated September 30, 2012

Recorded as JAMES BAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2012

Internal Medicine (License #11016645A in IN)

🟢

Initial NPI Registration & Enumeration June 26, 2012

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: 1144584905

Entity Type:

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

Enumeration Date: June 26, 2012

Last Update: September 30, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

151 S East St, Apt 111

Indianapolis, IN 462024074

Phone: 3176564260

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.