Active NPI 1215907126 Individual Practitioner Male Practitioner

Dr. Michael Randel Baylor , MD

Emergency Medicine • Charlottesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Baylor, MD is a certified Emergency Medicine practicing in Charlottesville, VA. With approximately 28 years of clinical experience since graduating from University Of South Carolina School Of Medicine in 1998, Dr. Baylor delivers high-quality medical care to the local community at 459 LOCUST AVE.

Dr. Baylor is affiliated with Emergency Medicine Associates P.A., P.C. and accepts Medicare assignment.

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

459 Locust Ave
Mb #26

Charlottesville, VA 229024808

Telephone 4349827150

Associated Practice Facility / Clinic

🏢 Hematology Oncology Patient Enterprises P C Facility NPI 1053397745

Medicare Profile & Education

Medical School

University Of South Carolina School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +15.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

130 Specialists

Practicing in Charlottesville, VA (1769 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baylor (28 Years) 28 Yrs

Charlottesville Specialty Average (12.8 Years) 12.8 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
99285 Emergency department visit for life threatening or functioning severity	413	402	$1650.37	$171.53
99284 Emergency department visit with moderate level of medical decision making	307	301	$1117.78	$117.78
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	254	238	$80.83	$8.12
99291 Critical care, first 30-74 minutes	106	104	$2128.64	$209.95
99283 Emergency department visit with low level of medical decision making	59	58	$589.41	$70.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	402	393	$1602.30	$170.30
99284 Emergency department visit with moderate level of medical decision making	329	315	$1085.64	$118.64
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	262	252	$78.48	$8.04
99291 Critical care, first 30-74 minutes	135	133	$2066.64	$205.80
99283 Emergency department visit with low level of medical decision making	90	88	$572.24	$69.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	429	412	$1600.45	$175.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	371	355	$78.41	$8.30
99284 Emergency department visit with moderate level of medical decision making	272	265	$1084.13	$121.87
99283 Emergency department visit with low level of medical decision making	135	132	$571.13	$72.02
99291 Critical care, first 30-74 minutes	100	96	$2062.43	$213.86
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	13	13	$412.50	$43.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	510	495	$1555.63	$179.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	361	341	$76.19	$8.40
99284 Emergency department visit with moderate level of medical decision making	247	244	$1053.74	$122.46
99283 Emergency department visit with low level of medical decision making	162	159	$555.58	$71.42
99291 Critical care, first 30-74 minutes	113	110	$2006.44	$219.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	495	479	$1510.32	$174.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	364	353	$73.97	$8.61
99284 Emergency department visit with moderate level of medical decision making	283	273	$1025.04	$121.27
99283 Emergency department visit with low level of medical decision making	133	130	$539.40	$66.30
99291 Critical care, first 30-74 minutes	82	81	$1948.00	$226.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	436	419	$1438.40	$170.13
99284 Emergency department visit with moderate level of medical decision making	341	333	$975.95	$116.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	313	305	$70.45	$8.42
99283 Emergency department visit with low level of medical decision making	138	134	$513.71	$61.39
99291 Critical care, first 30-74 minutes	72	72	$1855.24	$220.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	451	438	$1396.50	$188.66
99284 Emergency department visit with moderate level of medical decision making	343	333	$946.20	$127.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	242	239	$68.40	$9.31
99283 Emergency department visit with low level of medical decision making	174	171	$498.75	$66.95
99291 Critical care, first 30-74 minutes	29	29	$1801.20	$244.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	538	509	$694.74	$170.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	291	282	$44.81	$8.39
99284 Emergency department visit with moderate level of medical decision making	228	226	$486.93	$115.90
99283 Emergency department visit with low level of medical decision making	159	158	$291.96	$60.82
99291 Critical care, first 30-74 minutes	22	22	$893.67	$220.58
99282 Emergency department visit with straightforward medical decision making	18	18	$187.00	$40.83
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	11	11	$320.18	$42.19

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License VA 0101223301

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010046220 (VA)

Medicaid State Provider ID

010134081 (VA)

Medicaid State Provider ID

40565 (VA)

Commercial Insurance / Payer ID Anthem Svc/healthkeepers

165761 (VA)

Commercial Insurance / Payer ID Southern Health

224878 (VA)

Commercial Insurance / Payer ID Medicare Pin

P00192026 (VA)

Commercial Insurance / Payer ID Community Health

40565 (VA)

Commercial Insurance / Payer ID Medicare Pin

930113913 (VA)

Hospital & Practice Group Affiliations

Emergency Medicine Associates P.a., P.c.

500 Martha Jefferson Dr, Charlottesville, VA 229114668

Phone: 4346547147

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Ursula Koeze , MD

Emergency Medicine

NPI 1023088960

Doctor of Medicine (M.D.)

Dr. Julia Whiting , MD

Emergency Medicine

NPI 1144290024

Doctor of Medicine (M.D.)

Dr. Jeffrey Alberts , MD

Internal Medicine

NPI 1417927476

Doctor of Medicine (M.D.)

Dr. William Snuffin , DO

Emergency Medicine

NPI 1447220991

Doctor of Osteopathic Medicine (D.O.)

Dr. Daniel Ricciardi , MD

Emergency Medicine

NPI 1467422329

Doctor of Medicine (M.D.)

Dr. Brian Whittaker , MD

Emergency Medicine

NPI 1548403835

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 August 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2008

Registered at 459 LOCUST AVE, MB #26, CHARLOTTESVILLE, VA 229024808 (Tel: 4349827150)

📍

Updated Business Mailing Address August 06, 2008

Registered at PO BOX 11647, DAYTONA BEACH, FL 321201647 (Tel: 3862747800)

👤

Provider Name / Credentials Updated August 06, 2008

Recorded as MICHAEL BAYLOR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2008

Emergency Medicine (License #0101223301 in VA)

🟢

Initial NPI Registration & Enumeration January 24, 2006

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: 1215907126

Entity Type:

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

Enumeration Date: January 24, 2006

Last Update: August 06, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 11647

Daytona Beach, FL 321201647

Phone: 3862747800

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.