CHARLES BAILEY MD
NPI 1346220811
Emergency Medicine in Hollywood, FL


Quality Rating: 75 out of 100 score

NPI Status: Active since January 19, 2006

Contact Information

3600 WASHINGTON ST
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 966-4500

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About CHARLES BAILEY

This page provides the complete NPI Profile along with additional information for Charles Bailey, a provider established in Hollywood, Florida with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1346220811 assigned on January 2006. The practitioner's primary taxonomy code is 207P00000X with license number ME0065125 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1346220811
Provider Name
CHARLES BAILEY MD
Gender
Male
Entity Type
Individual
Location Address
3600 WASHINGTON ST HOLLYWOOD, FL 33021
Location Phone
(954) 966-4500
Mailing Address
PO BOX 863481 ORLANDO, FL 32886
Is Sole Proprietor?
No
Enumeration Date
01-19-2006
Last Update Date
07-10-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME0065125
License State
FL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
23684EMEDICARE ID-TYPE UNSPECIFIED (04)FLMEDICARE
23684OTHER (01)FLBCBS
S25787MEDICARE UPIN (02)FL 

Medicare Participation & PECOS Enrollment Status

Charles Bailey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 145 times for 131 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 77 times for 42 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 18 times for 17 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33021 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $91.69
  • Minimum New Patient Price $58.56
  • Maximum New Patient Price $179.05
  • Average New Patient Copayment $22.92
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.21
  • Minimum Established Patient Price $18.44
  • Maximum Established Patient Price $144.68
  • Average Established Patient Copayment $25.8
  • Minimum Established Patient Copayment $4.61
  • Maximum Established Patient Copayment $36.17

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: N/A

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for CHARLES BAILEY MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346220811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238642082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 4 + 2 + 0 + 8 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1346220811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508846098 THOMAS KNIGHT MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1972583441 ANDREW BERN MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1639149859 TODD SCHWARTZ MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1861504482 MAXINE BLOOM MD
Individual
Anesthesiology3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 986-6173
1457463937 EDWIN RISI MD
Individual
Anesthesiology3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 986-6173
1336342922DR. JEAN DAVIS ARNP
Individual
Nurse Practitioner3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5350
1487971479DR. MELISSA CARMEN ORDENES M.D.
Individual
Emergency Medicine3600 WASHINGTON ST EMERGENCY DEPARTMENT
HOLLYWOOD, FL 33021
(954) 518-5302
1790087856BLUE LION MEDICAL
Organization
Physician Assistant (Surgical)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 773-5744
1073826012DR. GRAZIA IRIS MURPHY PHARM.D., BCPS
Individual
Pharmacist3600 WASHINGTON ST PHARMACY SERVICE
HOLLYWOOD, FL 33021
(954) 518-5670
1366788671DR. EMILY EDYTHE MARTUSCELLI PHARMD, BCPS
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5679
1255599932 KEITH JEFFREY FOSTER M.D.
Individual
Physical Medicine & Rehabilitation3600 WASHINGTON ST SUITE 2005
HOLLYWOOD, FL 33021
(954) 518-2424
1548754989 ABHINAV MOHAN
Individual
Student in an Organized Health Care Education/Training Program3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 265-4461
1578537189 RUSLAN IVANOV MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1598789497DR. THOMAS E MUELLER PHARM.D.
Individual
Pharmacist3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5670
1073543799HOLLYWOOD MEDICAL CENTER, INC.
Organization
General Acute Care Hospital3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1689690570HOLLYWOOD MEDICAL CENTER, INC.
Organization
Rehabilitation Unit3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1124127378HOLLYWOOD MEDICAL CENTER EKG ASSOCIATES PA
Organization
Internal Medicine (Cardiovascular Disease)3600 WASHINGTON ST - EKG READERS PANEL
HOLLYWOOD, FL 33021
(954) 726-1808
1306496773 RICHIE ONWUCHEKWA UBA
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5670
1306831359STERLING EMERGENCY SERVICES OF FLORIDA PA
Organization
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1285244772DR. FRANCO A DICKSON PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-6570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346220811, enumerated in the NPI registry as an "individual" on January 19, 2006

The provider is located at 3600 Washington St Hollywood, Fl 33021 and the phone number is (954) 966-4500

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $91.69 with an average copayment of $22.92 for new patient appointments. Established patients should expect a typical charge of $103.21 and an average copayment of 25.8. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.

This NPI record was last updated on January 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.