Active NPI 1386878080 Individual Practitioner Male Practitioner

Dr. Matthew Bruce Bailey , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Bailey, MD is a certified Surgery practicing in Lexington, KY. With approximately 17 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2009, Dr. Bailey delivers high-quality medical care to the local community at 1221 S BROADWAY.

Dr. Bailey is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of large bowel using an 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

1221 S Broadway
Lcsb - 2

Lexington, KY 405042701

Telephone 8592584271

Fax 8592584296

Associated Practice Facility / Clinic

🏢 New Lexington Clinic, Psc Facility NPI 1700803681

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -3.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

73 Specialists

Practicing in Lexington, KY (495 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (17 Years) 17 Yrs

Lexington Specialty Average (20.0 Years) 20.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	88	66	$171.78	$85.50
45380 Biopsy of large bowel using an endoscope	64	64	$432.00	$75.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	47	$106.00	$53.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$549.00	$244.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$212.31	$106.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	35	$259.00	$127.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	17	$75.00	$48.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$297.00	$82.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$318.00	$160.96
45378 Diagnostic exam of large bowel using a flexible endoscope	15	14	$398.00	$147.17
46221 Removal of external hemorrhoids by rubber banding	14	13	$415.00	$137.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$341.43	$172.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$243.00	$123.03

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	114	79	$106.00	$52.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$212.00	$102.26
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$172.00	$84.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$259.00	$123.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	28	$75.00	$47.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	40	$549.00	$240.58
45380 Biopsy of large bowel using an endoscope	36	34	$432.00	$95.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$297.00	$76.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$318.00	$157.66
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$364.83	$152.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$337.91	$166.89

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	81	62	$94.44	$52.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$206.85	$104.55
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$146.92	$84.37
45380 Biopsy of large bowel using an endoscope	44	42	$590.95	$102.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$736.79	$241.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$456.68	$90.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$260.67	$127.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	20	$75.00	$36.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$203.86	$120.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$138.80	$67.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$311.88	$157.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$348.14	$168.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	17	$75.00	$36.75
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$137.00	$86.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$202.07	$105.94
45380 Biopsy of large bowel using an endoscope	32	32	$746.94	$131.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$83.12	$52.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$639.54	$93.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$310.00	$159.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$139.00	$66.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$202.00	$122.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$878.67	$244.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$262.00	$129.88
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$194.00	$96.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	48	$153.00	$69.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$90.09	$42.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$228.00	$98.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$366.53	$91.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$353.00	$155.33
45380 Biopsy of large bowel using an endoscope	19	19	$1020.00	$182.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	15	$1153.00	$250.39

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	71	57	$90.05	$42.22
99213 Established patient office or other outpatient visit, typically 15 minutes	63	52	$153.00	$69.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	45	$743.00	$92.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$353.00	$156.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1153.00	$227.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$228.00	$102.45
45380 Biopsy of large bowel using an endoscope	26	25	$1020.00	$139.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$230.00	$103.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$450.00	$196.62
47562 Removal of gallbladder using an endoscope	16	16	$1603.00	$623.74
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$853.00	$167.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$93.00	$38.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	28	$76.25	$36.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$226.44	$101.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$347.44	$155.04
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$147.72	$67.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$251.80	$128.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$89.11	$40.63
45380 Biopsy of large bowel using an endoscope	20	19	$1023.50	$115.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$752.89	$91.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	16	$1158.76	$251.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$450.00	$194.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$222.50	$100.93

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	110	53	$123.00	$68.99
99213 Established patient office or other outpatient visit, typically 15 minutes	101	81	$143.00	$67.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	100	62	$69.00	$37.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$333.05	$152.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	79	$229.00	$130.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$226.79	$100.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$88.00	$40.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$212.00	$100.12
43246 Insertion of stomach tube using a flexible endoscope	22	21	$1068.00	$152.59
49650 Repair of groin hernia using an endoscope	13	13	$1227.69	$438.42
31600 Opening of windpipe through neck for insertion of breathing tube	12	12	$968.00	$356.06
47562 Removal of gallbladder using an endoscope	11	11	$2876.73	$628.56
45380 Biopsy of large bowel using an endoscope	11	11	$1090.00	$163.95

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 47015

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

1700 Ring Rd, Elizabethtown, KY 427019497

Phone: 2707695551

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Mark Miller , MD

Surgery

NPI 1265876106

Doctor of Medicine (M.D.)

Dr. William Walton , MD

Surgery

NPI 1538182142

Doctor of Medicine (M.D.)

Dr. John Warner , MD

Surgery

NPI 1780607390

Doctor of Medicine (M.D.)

Dr. Michael Totten , MD

Surgery

NPI 1841605870

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 June 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2015

Registered at 1221 S BROADWAY, LCSB - 2, LEXINGTON, KY 405042701 (Tel: 8592584271)

📍

Updated Business Mailing Address June 25, 2015

Registered at 1221 S BROADWAY, LCSB - 2, LEXINGTON, KY 405042701 (Tel: 8592584271)

👤

Provider Name / Credentials Updated June 25, 2015

Recorded as MATTHEW BAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Surgery (License #47015 in KY)

🟢

Initial NPI Registration & Enumeration May 08, 2009

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: 1386878080

Entity Type:

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

Enumeration Date: May 08, 2009

Last Update: June 25, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1221 S Broadway, Lcsb - 2

Lexington, KY 405042701

Phone: 8592584271

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.