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Dr. James Owen Dailey , MD

Specialist • Decatur, AL

Active NPI 1972522696 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1221 13th Ave Se
Decatur, AL 356014306

Call 2563519470 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1221 13th Ave Se

Decatur, AL 356014306

Telephone 2563519470
Fax 2563519472
Organization at the Same NPPES Address or Phone
Valley Pathology, L.l.c. Facility NPI 1437168879

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Valley Pathology, L.L.C.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Alabama School Of Medicine

Graduation Year

1975

Medicare patients

632 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $96,949 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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 – by Provider and Service, 2024.

Paid by Medicare

About $77,096 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

Years since graduation

51 years (graduated 1975)

CMS Doctors and Clinicians data list 1975 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Dailey 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Dailey 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Decatur and Alabama

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Specialist in Alabama (2024, 154 clinicians with data). Median for this group: 1,073. Middle half: 294 to 2,658.

Too few clinicians listed under Specialist in Decatur have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Specialist in Alabama (2024, 154 clinicians with data). Median for this group: $60,469. Middle half: $20,778 to $147,408.

Too few clinicians listed under Specialist in Decatur have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Specialist in Alabama (2024, 154 clinicians with data). Median for this group: $45,265. Middle half: $15,498 to $105,953.

Too few clinicians listed under Specialist in Decatur have Medicare Part B data for 2024 to compare.

6 active clinicians are listed under Specialist with a practice address in Decatur, AL (545 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
88305 Pathology examination of tissue using a microscope, intermediate complexity
355 231 $140.80 $33.69
88305 Pathology examination of tissue using a microscope, intermediate complexity
231 103 $140.80 $62.85
88313 Special stained specimen slides to examine tissue including interpretation and report
161 60 $163.06 $10.69
88344 Special stained specimen slides to examine tissue, each multiplex procedure
140 28 $339.88 $150.81
88313 Special stained specimen slides to examine tissue including interpretation and report
122 65 $163.06 $70.68
88112 Cell examination of specimen, selective cellular enhancement technique
118 100 $133.60 $56.66
88311 Preparation of tissue for examination by removing any calcium present
115 114 $39.94 $10.86
88304 Pathology examination of tissue using a microscope, moderately low complexity
80 72 $84.48 $10.25
88312 Special stained specimen slides to identify organisms including interpretation and report
80 49 $221.36 $95.46
88307 Pathology examination of tissue using a microscope, moderately high complexity
79 47 $565.82 $73.92
88312 Special stained specimen slides to identify organisms including interpretation and report
71 40 $221.36 $24.15
88341 Special stained specimen slides to examine tissue, each additional procedure
62 15 $178.12 $25.28
85060 Blood smear interpretation by physician with written report
45 44 $45.84 $21.21
88112 Cell examination of specimen, selective cellular enhancement technique
31 20 $133.60 $25.11
88300 Pathology examination of tissue using a microscope, limited examination
27 23 $32.08 $3.95
88342 Special stained specimen slides to examine tissue, initial procedure
22 17 $208.26 $31.57
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
20 20 $713.16 $324.38
88309 Pathology examination of tissue using a microscope, high complexity
15 15 $850.04 $130.34
88173 Evaluation of fine needle aspirate with interpretation and report
14 14 $328.76 $148.46
85097 Bone marrow, smear interpretation
11 11 $92.34 $40.45

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-14
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES AL 7420

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
529801370 (AL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PATHOLOGY

Medicare Enrollment ID

I20081114000559

Enrollment State Jurisdiction

AL

PECOS Control ID

5991767352

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Valley Pathology, L.l.c.

1221 13th Ave Se, Decatur, AL 356014306

Phone: 2563519470

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1639372626

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location April 05, 2024

Registered at 1221 13TH AVE SE, DECATUR, AL 356014306 (Tel: 2563519470)

📍
Updated Business Mailing Address April 05, 2024

Registered at 1221 13TH AVE SE, DECATUR, AL 356014306 (Tel: 2563519470)

📍
Updated Practice Location September 24, 2019

Registered at 1201 7TH ST SE, DECATUR, AL 356013337 (Tel: 2563519470)

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NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 08, 2014

Registered at 1403 8TH ST SE, DECATUR, AL 356013349 (Tel: 2563519470)

📍
Business Mailing Address (Initial Record) May 08, 2014

Registered at PO BOX 2086, DECATUR, AL 356022086 (Tel: 2563519470)

👤
Provider Name / Credentials (Initial Record) May 08, 2014

Recorded as JAMES DAILEY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Specialist (license number reported to NPPES: AL 7420)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972522696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: April 05, 2024
Sole Proprietor: Yes

Other Specialists in Decatur

Healthcare providers in Decatur

Mailing Address

1221 13th Ave Se

Decatur, AL 356014306

Phone: 2563519470

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.