Dr. James Phillips Bailey , MD
Orthopaedic Surgery โข Birmingham, AL
1801 Gadsden Hwy
Birmingham, AL 352353134
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. James Bailey is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on February 10, 2006; this date does not establish years in practice.
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Published CMS data list 28 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99213 โ Established patient outpatient office visit: 28 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 11 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Fentanyl โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Birmingham, AL (2024, 74 clinicians with data). Median for this group: 332. Middle half: 87 to 686.
Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 232 clinicians with data). Median for this group: 584. Middle half: 239 to 1,118.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 30 in 2017 to 28 in 2019.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2019.
Practice Location & Contact Primary Location
1801 Gadsden Hwy
Birmingham, AL 352353134
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
23 people with Original Medicare in 2019
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2019.
Medicare-allowed amount
About $1,899 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
Paid by Medicare
About $1,410 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019.
30-day fills
11 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,122 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $14.76 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Bailey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Bailey as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Birmingham and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Birmingham, AL (2024, 74 clinicians with data). Median for this group: 332. Middle half: 87 to 686.
Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 232 clinicians with data). Median for this group: 584. Middle half: 239 to 1,118.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Birmingham, AL (2024, 74 clinicians with data). Median for this group: $2,567. Middle half: $572 to $6,068.
A lower Part D drug cost than 75% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 232 clinicians with data). Median for this group: $5,642. Middle half: $1,741 to $12,227.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Bailey are from 2019.
105 active clinicians are listed under Orthopaedic Surgery with a practice address in Birmingham, AL (342 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Birmingham
6.7% of these 105 clinicians have the CMS telehealth indicator.
69.5% of these 105 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 30 in 2017 and 28 in 2019.
- 2017: 30
- 2018: 41
- 2019: 28
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $1,898 in 2017 and $1,899 in 2019.
- 2017: $1,898
- 2018: $2,234
- 2019: $1,899
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Paid by Medicare
Paid by Medicare stayed about the same: $1,427 in 2017 and $1,410 in 2019.
- 2017: $1,427
- 2018: $1,288
- 2019: $1,410
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2019 to 11 in 2024.
- 2019: 12
- 2020: 12
- 2021: 14
- 2023: 12
- 2024: 11
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30-day fills
30-day fills went from 12 in 2019 to 11 in 2024.
- 2019: 12
- 2020: 14
- 2021: 14
- 2023: 13
- 2024: 11
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Part D drug cost
Part D drug cost went from $175 in 2019 to $1,122 in 2024.
- 2019: $175
- 2020: $131
- 2021: $479
- 2023: $261
- 2024: $1,122
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $691.29 in 2019 to $14.76 in 2024.
- 2019: $691.29
- 2021: $119.06
- 2022: $15.57
- 2023: $177.56
- 2024: $14.76
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $14.76.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
PROCLAIM | General | $14.76 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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28 | 17 | $130.00 | $67.83 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Fentanyl | Fentanyl | 11 | 330 | $1,122.44 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20100805000100
AL
8820121254
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Nurse Practitioner - Family
Certified Registered Nurse Practitioner
Occupational Therapist
Occupational Therapist Registered, Master of Occupational Therapy
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated February 10, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Birmingham
- Dr. Eugene Brabston, MD
- Dr. Gregory Gullung, MD
- Dr. Kenneth Moore, MD
- Jonathan Quade
- Sakthivel Rajan Rajaram Manoharan
- Dr. Perry Savage, MD
Mailing Address
1801 Gadsden Hwy
Birmingham, AL 352353134
Phone: 2058383900