Active NPI 1154967123 Individual Practitioner Female Practitioner

Bailey Elizabeth Higby , NP

Nurse Practitioner • Sun Prairie, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bailey Higby, NP is a certified Nurse Practitioner practicing in Sun Prairie, WI. With approximately 7 years of clinical experience since completing medical education in 2019, Bailey Higby delivers high-quality medical care to the local community at 650 SPRING ST UNIT 5106.

Bailey Higby is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection into tendon or ligament, new 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

650 Spring St Unit 5106

Sun Prairie, WI 535909341

Telephone 5637263383

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sun Prairie, WI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -0.9 yrs vs City Avg

City Avg: 7.9 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Sun Prairie, WI (4030 Statewide)

Telehealth Adoption Rate

53.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higby (7 Years) 7 Yrs

Sun Prairie Specialty Average (7.9 Years) 7.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	94	78	$234.00	$51.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	56	$343.00	$76.13
20550 Injection into tendon or ligament	42	28	$339.90	$27.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$359.00	$62.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$535.00	$104.69
20600 Aspiration and/or injection of fluid from small joint	20	14	$496.50	$32.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	67	$218.30	$53.01
20550 Injection into tendon or ligament	69	32	$344.37	$25.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	60	$314.60	$78.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$494.30	$106.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$346.70	$65.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	73	$204.00	$53.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	66	$294.00	$79.48
20550 Injection into tendon or ligament	47	35	$316.60	$30.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$324.00	$66.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$462.00	$108.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$469.00	$112.75
20600 Aspiration and/or injection of fluid from small joint	14	11	$319.29	$25.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$150.00	$29.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	93	$194.00	$54.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	63	$280.00	$80.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$308.00	$67.49
20550 Injection into tendon or ligament	46	27	$330.22	$28.69

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	38	31	$266.00	$65.15
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$185.00	$42.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$293.00	$62.02
20550 Injection into tendon or ligament	20	13	$279.00	$28.22

Medical Specialties & State Licenses

CMS Verified: 2023-09-20

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 9625

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

4602 Eastpark Blvd, Madison, WI 537182002

Phone: 6084406400

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 20, 2023

Registered at 650 SPRING ST UNIT 5106, SUN PRAIRIE, WI 535909341 (Tel: 5637263383)

📍

Updated Business Mailing Address September 20, 2023

Registered at 650 SPRING ST UNIT 5106, SUN PRAIRIE, WI 535909341

✅

NPI Profile Active November 25, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location November 25, 2019

Registered at 4602 EASTPARK BLVD, MADISON, WI 537182002 (Tel: 6082637540)

📍

Updated Business Mailing Address November 25, 2019

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated November 25, 2019

Recorded as BAILEY HIGBY, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2019

Nurse Practitioner (License #9625 in WI)

🟢

Initial NPI Registration & Enumeration November 25, 2019

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: 1154967123

Entity Type:

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

Enumeration Date: November 25, 2019

Last Update: September 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

650 Spring St Unit 5106

Sun Prairie, WI 535909341

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.