Active NPI 1396896577 Individual Practitioner Male Practitioner

Dr. Matthew Keith Bailey , MD

Orthopaedic Surgery • Kalispell, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Bailey, MD is a certified Orthopaedic Surgery practicing in Kalispell, MT. With approximately 29 years of clinical experience since graduating from Un Of California, Irvine, College Of Medicine in 1997, Dr. Bailey delivers high-quality medical care to the local community at 111 SUNNYVIEW LN.

Dr. Bailey is affiliated with Kalispell Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Sunnyview Ln

Kalispell, MT 599013164

Telephone 4067527900

Fax 4062570253

Associated Practice Facility / Clinic

🏢 Kalispell Regional Medical Center, Inc Facility NPI 1912945544

Medicare Profile & Education

Medical School

Un Of California, Irvine, College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Kalispell, MT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Kalispell, MT (110 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (29 Years) 29 Yrs

Kalispell Specialty Average (23.9 Years) 23.9 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,344	20	$26.00	$8.85
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	405	136	$9.00	$6.97
99213 Established patient office or other outpatient visit, typically 15 minutes	208	152	$217.48	$91.15
20610 Aspiration and/or injection of fluid from large joint	195	111	$157.37	$68.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	106	$306.60	$128.84
73564 X-ray of knee, 4 or more views	90	39	$58.67	$30.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$254.98	$112.05
73562 X-ray of knee, 3 views	37	25	$58.57	$29.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$398.00	$167.27
20550 Injection into tendon or ligament	28	16	$121.00	$51.00
73030 X-ray of shoulder, minimum of 2 views	28	25	$47.00	$26.15
73502 X-ray of hip, 2-3 views	25	23	$72.00	$37.14
73110 X-ray of wrist, minimum of 3 views	23	14	$63.00	$33.09
20600 Aspiration and/or injection of fluid from small joint	18	14	$148.00	$57.26
27447 Replacement of knee joint, both sides of knee	16	16	$3126.00	$1289.43
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$130.50	$57.11
64721 Release and/or relocation of hand nerve	13	13	$1072.62	$428.20
71046 X-ray of chest, 2 views	12	12	$64.00	$23.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$134.67	$56.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	800	16	$26.00	$9.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	384	125	$9.00	$6.53
99213 Established patient office or other outpatient visit, typically 15 minutes	181	138	$215.00	$90.93
20610 Aspiration and/or injection of fluid from large joint	153	98	$152.22	$68.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	116	$305.00	$127.31
73564 X-ray of knee, 4 or more views	59	42	$68.00	$36.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$395.00	$167.59
73562 X-ray of knee, 3 views	42	36	$63.00	$32.25
73502 X-ray of hip, 2-3 views	41	35	$72.00	$37.01
73110 X-ray of wrist, minimum of 3 views	40	29	$63.00	$33.27
73030 X-ray of shoulder, minimum of 2 views	33	26	$47.00	$26.14
20550 Injection into tendon or ligament	29	22	$129.34	$57.66
71046 X-ray of chest, 2 views	28	27	$47.00	$23.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$263.00	$112.93
20600 Aspiration and/or injection of fluid from small joint	23	17	$135.13	$52.42
26055 Incision of tendon covering	20	14	$1295.00	$239.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$134.00	$54.84
64721 Release and/or relocation of hand nerve	16	15	$996.00	$377.70
27447 Replacement of knee joint, both sides of knee	16	16	$3126.00	$1299.68
20605 Aspiration and/or injection of medium joint or joint capsule	16	12	$137.75	$52.47
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$57.00	$29.86
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$2429.00	$1086.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	961	17	$26.00	$9.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	320	104	$9.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	164	124	$215.00	$91.51
20610 Aspiration and/or injection of fluid from large joint	143	90	$152.69	$68.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	116	$305.00	$127.59
73110 X-ray of wrist, minimum of 3 views	40	25	$69.17	$36.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$395.00	$168.43
73562 X-ray of knee, 3 views	39	33	$67.31	$34.86
73564 X-ray of knee, 4 or more views	27	22	$71.85	$37.12
20550 Injection into tendon or ligament	21	12	$126.76	$56.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$134.00	$54.80
73502 X-ray of hip, 2-3 views	19	16	$77.26	$39.49
73030 X-ray of shoulder, minimum of 2 views	18	14	$52.83	$29.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$263.00	$112.98
27447 Replacement of knee joint, both sides of knee	18	18	$3126.00	$1239.44
20600 Aspiration and/or injection of fluid from small joint	18	14	$129.50	$53.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$309.00	$134.30
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$2429.00	$1091.33
64721 Release and/or relocation of hand nerve	15	14	$996.00	$371.75
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$406.00	$175.35
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2092.00	$456.66
71046 X-ray of chest, 2 views	11	11	$47.00	$23.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	365	117	$9.00	$6.99
99213 Established patient office or other outpatient visit, typically 15 minutes	162	119	$215.00	$92.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	137	$305.00	$129.97
20610 Aspiration and/or injection of fluid from large joint	130	84	$161.24	$69.18
73562 X-ray of knee, 3 views	48	35	$82.69	$41.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$395.00	$167.19
73110 X-ray of wrist, minimum of 3 views	39	25	$78.59	$38.47
20550 Injection into tendon or ligament	35	20	$124.46	$51.43
64721 Release and/or relocation of hand nerve	31	26	$996.00	$391.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$263.00	$113.63
20600 Aspiration and/or injection of fluid from small joint	24	17	$129.50	$52.97
73502 X-ray of hip, 2-3 views	22	18	$93.59	$46.43
73030 X-ray of shoulder, minimum of 2 views	22	18	$65.14	$33.60
20605 Aspiration and/or injection of medium joint or joint capsule	22	13	$131.82	$57.56
26055 Incision of tendon covering	19	11	$1295.00	$236.05
73564 X-ray of knee, 4 or more views	18	16	$91.11	$45.50
27447 Replacement of knee joint, both sides of knee	13	12	$3126.00	$1317.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$134.00	$53.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$400.36	$178.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,153	14	$26.00	$10.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	303	105	$9.00	$7.09
99213 Established patient office or other outpatient visit, typically 15 minutes	133	101	$168.00	$76.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	122	$245.00	$110.62
20610 Aspiration and/or injection of fluid from large joint	111	68	$285.11	$71.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$244.00	$109.77
73110 X-ray of wrist, minimum of 3 views	35	24	$82.00	$39.58
20550 Injection into tendon or ligament	26	19	$130.31	$57.36
64721 Release and/or relocation of hand nerve	26	24	$1110.92	$440.09
73562 X-ray of knee, 3 views	22	15	$84.00	$39.88
20605 Aspiration and/or injection of medium joint or joint capsule	20	13	$127.60	$54.47
73564 X-ray of knee, 4 or more views	19	17	$94.00	$44.68
73502 X-ray of hip, 2-3 views	19	15	$97.00	$46.05
73030 X-ray of shoulder, minimum of 2 views	18	14	$68.00	$33.83
20600 Aspiration and/or injection of fluid from small joint	17	12	$130.59	$53.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$102.00	$46.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	12	$21.06	$11.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	469	161	$10.39	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	195	148	$158.92	$75.62
20610 Aspiration and/or injection of fluid from large joint	174	97	$189.37	$71.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	151	$227.25	$110.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$231.25	$111.53
20550 Injection into tendon or ligament	63	35	$127.86	$50.91
20605 Aspiration and/or injection of medium joint or joint capsule	44	35	$137.57	$54.83
73110 X-ray of wrist, minimum of 3 views	39	31	$80.31	$37.05
73562 X-ray of knee, 3 views	37	32	$81.95	$37.73
64721 Release and/or relocation of hand nerve	35	33	$1010.34	$449.77
73502 X-ray of hip, 2-3 views	23	19	$90.74	$43.44
26055 Incision of tendon covering	22	20	$902.05	$282.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$96.84	$45.99
20600 Aspiration and/or injection of fluid from small joint	17	14	$124.53	$49.30
27447 Replacement of knee joint, both sides of knee	11	11	$3193.64	$1477.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,168	18	$20.00	$11.80
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	372	166	$12.00	$7.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	208	$216.00	$109.11
99213 Established patient office or other outpatient visit, typically 15 minutes	205	151	$145.00	$74.37
20610 Aspiration and/or injection of fluid from large joint	189	117	$181.35	$69.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$218.00	$110.94
20550 Injection into tendon or ligament	59	36	$123.00	$54.56
73562 X-ray of knee, 3 views	59	42	$80.00	$36.23
20605 Aspiration and/or injection of medium joint or joint capsule	54	36	$129.91	$52.83
73110 X-ray of wrist, minimum of 3 views	47	32	$79.00	$35.56
64721 Release and/or relocation of hand nerve	38	34	$894.58	$420.54
73030 X-ray of shoulder, minimum of 2 views	29	24	$65.41	$29.15
73130 X-ray of hand, minimum of 3 views	26	18	$69.00	$32.39
73502 X-ray of hip, 2-3 views	20	17	$78.80	$38.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$88.00	$44.86
26055 Incision of tendon covering	19	16	$630.00	$310.35
20600 Aspiration and/or injection of fluid from small joint	17	11	$113.00	$42.84
27447 Replacement of knee joint, both sides of knee	13	12	$3219.00	$1475.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	832	14	$20.00	$12.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	368	152	$12.00	$6.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	202	$216.00	$108.71
99213 Established patient office or other outpatient visit, typically 15 minutes	168	131	$145.00	$73.68
20610 Aspiration and/or injection of fluid from large joint	163	104	$180.71	$68.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$218.00	$110.34
20605 Aspiration and/or injection of medium joint or joint capsule	57	37	$132.70	$54.04
73562 X-ray of knee, 3 views	54	37	$80.00	$36.01
73110 X-ray of wrist, minimum of 3 views	49	36	$79.00	$35.63
20550 Injection into tendon or ligament	43	28	$124.49	$52.00
64721 Release and/or relocation of hand nerve	37	32	$894.86	$410.96
73130 X-ray of hand, minimum of 3 views	34	25	$69.00	$31.03
73030 X-ray of shoulder, minimum of 2 views	25	21	$67.00	$29.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$88.00	$44.08
73502 X-ray of hip, 2-3 views	19	17	$85.00	$41.63
73564 X-ray of knee, 4 or more views	15	13	$91.00	$39.91

Medical Specialties & State Licenses

CMS Verified: 2020-06-26

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MT 10135

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Specialist

NUCC Taxonomy Code: 174400000X

State License MT 10135

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0089641 (MT)

Commercial Insurance / Payer ID Blue Cross Blue Shield

1396896577 (MT)

Hospital & Practice Group Affiliations

Kalispell Regional Medical Center Inc

111 Sunnyview Ln, Kalispell, MT 599013164

Phone: 4067527900

Secondary Practice Locations

710 E 13th St

Whitefish, MT 599372981

Phone: 4068628045

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Lawrence Iwersen , MD

Orthopaedic Surgery

NPI 1013028950

Doctor of Medicine (M.D.)

Steven Trimble , PA-C

Physician Assistant - Surgical

NPI 1053422626

Physician Assistant (Certified)

Taylor Read , PA

Physician Assistant

NPI 1144870007

Physician Assistant

Marni Allen , NP

Nurse Practitioner

NPI 1154353118

Nurse Practitioner

Dr. Erik Schroeder , MD

Family Medicine - Sports Medicine

NPI 1215969936

Doctor of Medicine (M.D.)

Dr. Joseph Bergman , MD

Orthopaedic Surgery

NPI 1285898569

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2017

Registered at 111 SUNNYVIEW LN, KALISPELL, MT 599013164 (Tel: (406) 752-7900)

📍

Updated Business Mailing Address September 05, 2017

Registered at 111 SUNNYVIEW LN, KALISPELL, MT 599013164 (Tel: (406) 752-7900)

👤

Provider Name / Credentials Updated September 05, 2017

Recorded as MATTHEW BAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2017

Specialist (License #10135 in MT)

✅

NPI Profile Active July 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2008

Registered at 710 E 13TH ST, WHITEFISH, MT 599372981 (Tel: 4068628045)

📍

Updated Business Mailing Address July 28, 2008

Registered at 111 SUNNYVIEW LN, KALISPELL, MT 599013164 (Tel: 4067527900)

👤

Provider Name / Credentials Updated July 28, 2008

Recorded as MATTHEW BAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2008

Specialist (License #10135 in MT)

🟢

Initial NPI Registration & Enumeration January 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1396896577

Entity Type:

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

Enumeration Date: January 15, 2007

Last Update: November 27, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

111 Sunnyview Ln

Kalispell, MT 599013164

Phone: 4067527900

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.