Dr. Kimberly Bailey, MD - Surgery in Morgantown, WV

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Bailey, MD is a certified Surgery practicing in Morgantown, WV. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Bailey delivers high-quality medical care to the local community at 1 MEDICAL CENTER DRIVE.

Dr. Bailey is affiliated with West Virginia University Medical Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

1 Medical Center Drive

Morgantown, WV 265069238

Telephone 3042935169

Associated Practice Facility / Clinic

🏢 West Virginia University Hospitals, Inc Facility NPI 1841271459

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Morgantown, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +1.3 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

28 Specialists

Practicing in Morgantown, WV (221 Statewide)

Telehealth Adoption Rate

17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bailey (20 Years) 20 Yrs

Morgantown Specialty Average (18.7 Years) 18.7 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	35	30	$148.00	$62.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$293.00	$121.87
19301 Partial removal of breast	14	13	$1877.00	$606.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
19301 Partial removal of breast	18	18	$1877.00	$648.38
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$148.00	$63.38
38900 Lymph node imaging during surgery	15	15	$399.00	$126.89
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1262.00	$255.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$214.00	$93.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	34	$89.00	$39.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	30	$165.00	$72.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$310.00	$138.07

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	79	39	$165.00	$71.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	40	$89.00	$38.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$310.00	$131.63
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$116.00	$50.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$293.00	$127.35
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$230.00	$100.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$372.00	$149.86
99238 Hospital discharge day management, 30 minutes or less	15	15	$166.00	$71.08
47562 Removal of gallbladder using an endoscope	13	13	$1904.00	$676.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$178.00	$77.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	41	$70.00	$38.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	29	$123.00	$71.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$235.00	$133.87
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$88.00	$49.68
47562 Removal of gallbladder using an endoscope	16	16	$2185.00	$648.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$224.00	$114.17
99238 Hospital discharge day management, 30 minutes or less	12	12	$150.00	$70.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	87	46	$70.00	$38.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	27	$123.00	$69.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$235.00	$133.19
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$88.00	$49.41
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$173.00	$99.19
99238 Hospital discharge day management, 30 minutes or less	15	13	$150.00	$69.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$224.00	$126.44

Medical Specialties & State Licenses

CMS Verified: 2021-01-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 26930

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN 48471

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.

Hospital & Practice Group Affiliations

West Virginia University Medical Corporation

1 Medical Ctr Dr, Morgantown, WV 265061200

Phone: 3042934500

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Katherine Hill , MD

Surgery

NPI 1306280292

Doctor of Medicine (M.D.)

Trell Stowell , PA-C

Physician Assistant - Surgical

NPI 1649561408

Physician Assistant (Certified)

Katlin Plavi , PA

Physician Assistant - Medical

NPI 1891134276

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2021

Surgery (License #48471 in TN)

✅

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2016

Registered at 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 265069238 (Tel: 3042935169)

📍

Updated Business Mailing Address September 08, 2016

Registered at PO BOX 9238, MORGANTOWN, WV 265069238 (Tel: 3042935169)

👤

Provider Name / Credentials Updated September 08, 2016

Recorded as KIMBERLY BAILEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Surgery (License #26930 in WV)

🟢

Initial NPI Registration & Enumeration November 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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Dr. Kimberly Shilling Bailey , MD