Active NPI 1265415228 Individual Practitioner Female Practitioner

Dr. Sussan M Bays , MD

Surgery • Saginaw, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sussan Bays, MD is a certified Surgery practicing in Saginaw, MI. With approximately 36 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 1990, Dr. Bays delivers high-quality medical care to the local community at 5400 MACKINAW RD.

Dr. Bays is affiliated with Covenant Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5400 Mackinaw Rd

Saginaw, MI 486049515

Telephone 9895835060

Fax 8985835046

Associated Practice Facility / Clinic

🏢 Womens Ob Gyn Pc Facility NPI 1023096724

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saginaw, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +13.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

45 Specialists

Practicing in Saginaw, MI (1479 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bays (36 Years) 36 Yrs

Saginaw Specialty Average (22.8 Years) 22.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$339.00	$150.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$428.00	$210.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$235.00	$116.92
19301 Partial removal of breast	35	33	$1251.00	$597.06
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1081.00	$214.96
38900 Lymph node imaging during surgery	28	28	$343.00	$134.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$316.00	$166.42

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	99	94	$219.45	$119.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$316.74	$156.26
19301 Partial removal of breast	25	25	$1251.00	$631.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$401.75	$208.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$287.11	$170.96
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1081.00	$214.66
38900 Lymph node imaging during surgery	17	17	$343.00	$133.94

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	194	175	$202.02	$124.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$298.47	$156.99
19301 Partial removal of breast	38	35	$1251.00	$599.18
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	30	30	$1079.57	$237.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$370.00	$217.11
38900 Lymph node imaging during surgery	27	27	$343.00	$140.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$266.55	$169.53
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$135.24	$88.51

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	185	152	$190.77	$126.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$282.88	$160.55
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$130.33	$89.21
19301 Partial removal of breast	30	30	$1251.00	$598.11
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1081.00	$224.49
38900 Lymph node imaging during surgery	26	26	$343.00	$139.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$356.60	$218.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$253.68	$178.18

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	131	122	$171.74	$105.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$257.96	$160.59
19301 Partial removal of breast	37	37	$1251.00	$619.06
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1081.00	$231.35
38900 Lymph node imaging during surgery	27	27	$343.00	$143.72
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$127.88	$73.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$240.00	$139.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$320.23	$204.73
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	18	17	$1258.00	$324.18

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	173	150	$167.00	$105.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$243.42	$157.73
19301 Partial removal of breast	32	30	$1254.94	$657.53
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$1064.13	$223.79
38900 Lymph node imaging during surgery	28	28	$340.25	$143.63
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	24	23	$1258.00	$323.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$310.00	$195.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$235.00	$136.42

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	159	123	$152.47	$103.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$229.74	$159.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$290.49	$200.65
19301 Partial removal of breast	41	39	$1174.85	$639.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	40	40	$781.40	$222.33
38900 Lymph node imaging during surgery	35	35	$281.09	$139.14
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	32	31	$981.59	$336.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$218.20	$140.05
19303 Total removal of breast	18	18	$1853.67	$1072.10

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	107	88	$140.00	$101.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$215.91	$156.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$264.96	$199.45
19301 Partial removal of breast	47	44	$963.11	$588.09
38900 Lymph node imaging during surgery	46	46	$288.35	$138.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	42	41	$726.48	$218.46
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	29	28	$962.72	$325.88
19303 Total removal of breast	24	24	$1798.04	$1102.63
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$96.86	$69.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$149.50	$103.54

Medical Specialties & State Licenses

CMS Verified: 2021-03-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301056053

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

4870070 (MI)

Commercial Insurance / Payer ID Blue Cross

056053 (MI)

Hospital & Practice Group Affiliations

Covenant Medical Center Inc

5400 Mackinaw Rd, Saginaw, MI 486049515

Phone: 9895835250

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Carlotta Maresca , MD

Specialist

NPI 1093811515

Doctor of Medicine (M.D.)

Dr. Joseph Contino , MD

Surgery - Surgical Oncology

NPI 1356384499

Doctor of Medicine (M.D.)

Katelynn Franczak , AGNP

Nurse Practitioner - Gerontology

NPI 1427829829

Adult-Gerontology Nurse Practitioner

Dr. John Hughes , MD

Internal Medicine - Hematology & Oncology

NPI 1437200920

Doctor of Medicine (M.D.)

Dr. Laiba Khaliq , DO

Internal Medicine - Hematology & Oncology

NPI 1437770120

Doctor of Osteopathic Medicine (D.O.)

Dr. Gregory Sutton , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1568409373

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

✅

NPI Profile Active March 21, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2018

Registered at 5400 MACKINAW RD, SAGINAW, MI 486049515 (Tel: 9895835060)

📍

Updated Business Mailing Address March 21, 2018

Registered at 1447 N HARRISON ST, SAGINAW, MI 486024727 (Tel: 9895835060)

👤

Provider Name / Credentials Updated March 21, 2018

Recorded as SUSSAN BAYS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2018

Surgery (License #4301056053 in MI)

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 5400 MACKINAW RD, SAGINAW, MI 486049515 (Tel: 9895835060)

📍

Updated Business Mailing Address April 03, 2017

Registered at 1447 N HARRISON ST, SAGINAW, MI 486024727 (Tel: 9895835060)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as SUSSAN BAYS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Surgery (License #SB056053 in MI)

✅

NPI Profile Active March 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2011

Registered at 5415 FASHION SQUARE BLVD, SAGINAW, MI 486048200 (Tel: 9897904855)

📍

Updated Business Mailing Address March 17, 2011

Registered at 5415 FASHION SQUARE BLVD, SAGINAW, MI 486048200 (Tel: 9897904855)

👤

Provider Name / Credentials Updated March 17, 2011

Recorded as SUSSAN BAYS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2011

Surgery (License #SB056053 in MI)

🟢

Initial NPI Registration & Enumeration November 23, 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: 1265415228

Entity Type:

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

Enumeration Date: November 23, 2005

Last Update: March 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1447 N Harrison St

Saginaw, MI 486024727

Phone: 9895835060

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.