Active NPI 1245256445 Individual Practitioner Male Practitioner

Dr. James Troy Bailey , OD

Optometrist • Enterprise, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Bailey, OD is a certified Optometrist practicing in Enterprise, OR. With approximately 31 years of clinical experience since graduating from Pacific University - College Of Optometry in 1995, Dr. Bailey delivers high-quality medical care to the local community at 519 W NORTH STREET.

Dr. Bailey accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

519 W North Street

Enterprise, OR 97828

Telephone 5414263413

Fax 5414264489

Associated Practice Facility / Clinic

🏢 Wallowa Valley Eye Care, Inc. Facility NPI 1194092940

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Enterprise, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 19.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Enterprise, OR (975 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (31 Years) 31 Yrs

Enterprise Specialty Average (31.0 Years) 31.0 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	431	230	$97.00	$82.28
92014 Established patient complete exam of visual system	367	367	$174.00	$115.61
92134 Imaging of retina	219	178	$48.00	$35.64
92083 Exam of visual field with extended testing	168	144	$98.00	$57.72
92012 Established patient problem focused exam of visual system	150	128	$117.08	$81.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	92	$152.92	$116.44
66984 Removal of cataract with insertion of lens	80	50	$200.00	$96.00
92004 New patient complete exam of visual system	79	79	$233.00	$136.39
92133 Imaging of optic nerve	66	66	$48.00	$31.25
83861 Microfluid analysis of tears	54	17	$30.00	$22.03
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	44	40	$178.00	$113.84
92250 Photography of the retina	41	37	$98.00	$33.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$70.00	$51.60
92284 Evaluation of eye adaptation to light and dark with interpretation and report	28	27	$78.00	$33.89
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$95.37	$65.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	442	437	$174.27	$122.51
99213 Established patient office or other outpatient visit, typically 15 minutes	366	196	$97.00	$86.80
92134 Imaging of retina	195	182	$48.00	$37.50
92083 Exam of visual field with extended testing	141	126	$98.00	$60.20
92012 Established patient problem focused exam of visual system	120	92	$117.10	$86.80
92004 New patient complete exam of visual system	88	88	$233.00	$145.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	70	$152.00	$122.84
66984 Removal of cataract with insertion of lens	73	44	$200.00	$103.27
92133 Imaging of optic nerve	56	56	$48.00	$33.47
92284 Evaluation of eye adaptation to light and dark with interpretation and report	54	52	$78.00	$44.53
83861 Microfluid analysis of tears	41	17	$30.00	$22.03
92250 Photography of the retina	38	38	$98.00	$36.07
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	28	28	$178.00	$122.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$70.00	$54.37
92002 New patient problem focused exam of visual system	12	12	$129.00	$82.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$250.00	$159.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	419	415	$174.14	$122.54
99213 Established patient office or other outpatient visit, typically 15 minutes	324	202	$97.00	$87.30
92134 Imaging of retina	199	166	$48.00	$37.38
92012 Established patient problem focused exam of visual system	187	143	$117.06	$86.15
92083 Exam of visual field with extended testing	157	138	$98.00	$60.19
92004 New patient complete exam of visual system	90	90	$233.00	$145.24
92250 Photography of the retina	81	78	$98.00	$35.80
66984 Removal of cataract with insertion of lens	76	44	$200.00	$103.23
92284 Evaluation of eye adaptation to light and dark with interpretation and report	63	60	$78.00	$55.24
92133 Imaging of optic nerve	62	61	$48.00	$33.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	43	$151.21	$123.25
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	19	18	$178.00	$121.84
92002 New patient problem focused exam of visual system	13	13	$129.00	$83.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$70.00	$54.21
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$123.36	$84.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	343	195	$97.00	$89.53
92014 Established patient complete exam of visual system	288	279	$174.00	$124.66
92083 Exam of visual field with extended testing	152	120	$98.00	$61.94
92134 Imaging of retina	147	130	$48.00	$38.94
92012 Established patient problem focused exam of visual system	142	102	$117.00	$88.50
92250 Photography of the retina	84	78	$98.00	$38.41
92004 New patient complete exam of visual system	81	81	$233.00	$148.35
92133 Imaging of optic nerve	71	70	$48.00	$34.89
92284 Evaluation of eye adaptation to light and dark with interpretation and report	68	65	$78.00	$57.48
66984 Removal of cataract with insertion of lens	54	37	$200.00	$105.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$152.00	$126.84
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	27	24	$178.00	$129.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$70.00	$55.10
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$82.91	$73.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	415	212	$97.00	$74.06
92014 Established patient complete exam of visual system	354	348	$174.00	$124.85
92012 Established patient problem focused exam of visual system	227	161	$117.00	$87.36
92083 Exam of visual field with extended testing	133	113	$98.00	$62.37
92134 Imaging of retina	124	106	$64.69	$38.90
92250 Photography of the retina	117	112	$98.00	$44.30
92004 New patient complete exam of visual system	86	86	$233.00	$149.37
92133 Imaging of optic nerve	56	54	$65.14	$34.64
92284 Evaluation of eye adaptation to light and dark with interpretation and report	49	46	$78.00	$58.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$70.00	$44.64
66984 Removal of cataract with insertion of lens	35	23	$200.00	$108.43
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	31	25	$178.00	$129.04
92002 New patient problem focused exam of visual system	25	25	$129.00	$83.44
66984 Removal of cataract with insertion of lens	24	16	$200.00	$106.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	388	220	$97.00	$72.62
92014 Established patient complete exam of visual system	350	342	$174.00	$124.30
92012 Established patient problem focused exam of visual system	314	191	$117.04	$86.51
92284 Evaluation of eye adaptation to light and dark with interpretation and report	149	108	$93.30	$59.98
92083 Exam of visual field with extended testing	122	99	$98.00	$61.89
92250 Photography of the retina	119	110	$98.00	$49.15
92134 Imaging of retina	114	101	$78.00	$38.72
92133 Imaging of optic nerve	66	64	$78.00	$34.47
92004 New patient complete exam of visual system	59	59	$233.00	$148.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	50	$70.00	$44.06
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	52	38	$178.00	$130.69
83861 Microfluid analysis of tears	48	20	$30.00	$22.03
66984 Removal of cataract with insertion of lens	37	23	$200.00	$125.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$250.00	$161.00
92002 New patient problem focused exam of visual system	17	17	$129.00	$82.55
92283 Extended color vision examination	15	15	$44.00	$43.52
66821 Removal of recurring cataract in lens capsule using a laser	12	12	$66.50	$63.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	403	221	$97.00	$71.45
92012 Established patient problem focused exam of visual system	344	203	$117.00	$85.98
92014 Established patient complete exam of visual system	208	205	$174.00	$124.09
83861 Microfluid analysis of tears	204	59	$30.00	$22.03
92083 Exam of visual field with extended testing	154	124	$98.00	$62.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	100	$70.00	$42.92
92134 Imaging of retina	109	83	$78.00	$39.56
92250 Photography of the retina	89	85	$98.00	$55.97
92004 New patient complete exam of visual system	86	86	$233.00	$148.81
92284 Evaluation of eye adaptation to light and dark with interpretation and report	82	71	$98.00	$61.23
66984 Removal of cataract with insertion of lens	80	48	$200.00	$124.97
92133 Imaging of optic nerve	78	76	$78.00	$34.72
92002 New patient problem focused exam of visual system	25	25	$129.00	$82.15
92283 Extended color vision examination	17	17	$44.00	$43.38
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$72.20	$63.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	289	181	$117.00	$80.56
99213 Established patient office or other outpatient visit, typically 15 minutes	230	145	$97.00	$68.80
92014 Established patient complete exam of visual system	214	211	$174.00	$117.08
92083 Exam of visual field with extended testing	154	131	$98.00	$60.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	99	$70.00	$40.92
92134 Imaging of retina	124	105	$78.00	$37.88
92250 Photography of the retina	123	120	$98.00	$61.64
66984 Removal of cataract with insertion of lens	98	63	$200.00	$118.77
92133 Imaging of optic nerve	82	79	$78.00	$33.10
92004 New patient complete exam of visual system	70	70	$233.00	$140.99
83861 Microfluid analysis of tears	38	19	$30.00	$22.21
92002 New patient problem focused exam of visual system	24	24	$129.00	$77.11
66821 Removal of recurring cataract in lens capsule using a laser	22	21	$75.14	$64.95

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 2557T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

275377 (OR)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2015

Registered at 519 W NORTH STREET, ENTERPRISE, OR 97828 (Tel: 5414263413)

📍

Updated Business Mailing Address February 10, 2015

Registered at 519 W NORTH STREET, ENTERPRISE, OR 97828 (Tel: 5414263413)

👤

Provider Name / Credentials Updated February 10, 2015

Recorded as JAMES BAILEY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Optometrist (License #2557T in OR)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245256445

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: February 10, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

519 W North Street

Enterprise, OR 97828

Phone: 5414263413

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.