Active NPI 1568091270 Individual Practitioner Female Practitioner

Toni Shantel Gordon-Bailey , APRN

Nurse Practitioner • Benton, KY

Professional Overview & Biography Verified Profile Summary

Toni Gordon-Bailey, APRN is a registered healthcare professional specializing in Nurse Practitioner in Benton, KY. Practice services are available at 615 OLD SYMSONIA RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

615 Old Symsonia Rd

Benton, KY 420255042

Telephone 2705274800

Fax 2705274910

Associated Practice Facility / Clinic

🏢 Marshall County Hosp District Facility NPI 1003921032

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Benton, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Benton, KY (1865 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.7% 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
99285 Emergency department visit for life threatening or functioning severity	179	170	$1482.00	$136.83
99284 Emergency department visit with moderate level of medical decision making	133	130	$1020.80	$97.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	14	$69.00	$6.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	24	$19.00	$1.08
99213 Established patient office or other outpatient visit, typically 15 minutes	81	55	$154.00	$70.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg	78	18	$19.00	$0.12
99284 Emergency department visit with moderate level of medical decision making	75	74	$937.92	$98.42
99285 Emergency department visit for life threatening or functioning severity	53	53	$1436.40	$143.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	27	$49.32	$11.07
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	18	$71.32	$6.55
36415 Insertion of needle into vein for collection of blood sample	18	17	$18.00	$8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$89.00	$44.22
99283 Emergency department visit with low level of medical decision making	15	15	$335.93	$55.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$227.00	$100.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	66	$154.00	$71.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	68	13	$19.00	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	14	$19.00	$1.08
99284 Emergency department visit with moderate level of medical decision making	29	29	$276.00	$99.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	23	$49.32	$11.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$89.00	$44.35
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	22	21	$90.46	$34.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$227.00	$101.62
G0008 Administration of influenza virus vaccine	13	13	$37.00	$26.94
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$122.00	$70.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	82	80	$276.00	$101.80
99283 Emergency department visit with low level of medical decision making	51	50	$145.00	$59.88
99285 Emergency department visit for life threatening or functioning severity	33	29	$405.00	$144.01
99282 Emergency department visit with straightforward medical decision making	32	31	$97.00	$35.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	60	58	$145.00	$54.62
99284 Emergency department visit with moderate level of medical decision making	54	52	$276.00	$98.72
99285 Emergency department visit for life threatening or functioning severity	26	26	$405.00	$141.44

Medical Specialties & State Licenses

CMS Verified: 2020-07-08

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3014546

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Louis Forte , MD

Emergency Medicine

NPI 1083663504

Doctor of Medicine (M.D.)

Dr. Robert Harris , MD

Internal Medicine

NPI 1265403265

Doctor of Medicine (M.D.)

Meredith Crider , APRN

Nurse Practitioner - Primary Care

NPI 1447713623

Advanced Practice Registered Nurse

Dr. Christina Brown , DO

Internal Medicine

NPI 1598057549

Doctor of Osteopathic Medicine (D.O.)

Gretta Thomasson , APRN

Nurse Practitioner - Family

NPI 1669369468

Advanced Practice Registered Nurse

Bruce David , CRNA

Nurse Anesthetist, Certified Registered

NPI 1922190412

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address July 08, 2020

Registered at PO BOX 9150, PADUCAH, KY 420029150 (Tel: 2707449600)

👤

Provider Name / Credentials Updated July 08, 2020

Recorded as TONI GORDON-BAILEY, APRN

✅

NPI Profile Active April 04, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2020

Registered at 615 OLD SYMSONIA RD, BENTON, KY 420255042 (Tel: 2705274800)

📍

Updated Business Mailing Address April 04, 2020

Registered at 1326 WINCHESTER RD, NEW CONCORD, KY 420769109 (Tel: 5022954771)

👤

Provider Name / Credentials Updated April 04, 2020

Recorded as TONI GORDON-BAILEY, MSN, APRN-BC, CEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2020

Nurse Practitioner (License #3014546 in KY)

🟢

Initial NPI Registration & Enumeration April 04, 2020

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: 1568091270

Entity Type:

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

Enumeration Date: April 04, 2020

Last Update: July 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9150

Paducah, KY 420029150

Phone: 2707449600

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.