Dr. Thomas Andrew Bailey , MD
Internal Medicine • Youngstown, OH
25 N Canfield Niles Rd Ste 160
Youngstown, OH 445152334
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. Thomas Bailey is listed in NPPES under Internal Medicine.
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NPI assigned on August 10, 2006; this date does not establish years in practice.
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Published CMS data list 372 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 180 service units.
- 99239 — Hospital discharge day management: 77 service units.
- 99222 — Initial hospital care with straightforward or low-level medical decision making: 70 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 25 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Metoprolol Succinate — 13 prescription fills, including refills.
- Prednisone — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 1,570 in 2017 to 372 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
25 N Canfield Niles Rd Ste 160
Youngstown, OH 445152334
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $34,776 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 – by Provider and Service, 2019.
Paid by Medicare
About $27,569 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 – by Provider and Service, 2019.
30-day fills
25 standardized 30-day fills in 2019
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
$496 in 2019
The total cost of these prescriptions in 2019, 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 – by Provider and Drug, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
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, “Does your provider accept Medicare as full payment?”
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.
Compared with the same specialty in Youngstown and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Bailey are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Bailey are from 2019.
130 active clinicians are listed under Internal Medicine with a practice address in Youngstown, OH (5,283 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Youngstown
5.4% of these 130 clinicians have the CMS telehealth indicator.
50.8% of these 130 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 decreased 76% from 1,570 in 2017 to 372 in 2019.
- 2017: 1,570
- 2018: 1,927
- 2019: 372
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Medicare-allowed amount
Medicare-allowed amount decreased 78% from $158,691 in 2017 to $34,776 in 2019.
- 2017: $158,691
- 2018: $193,249
- 2019: $34,776
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Paid by Medicare
Paid by Medicare decreased 78% from $125,140 in 2017 to $27,569 in 2019.
- 2017: $125,140
- 2018: $153,083
- 2019: $27,569
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 96% from 587 in 2015 to 25 in 2019.
- 2015: 587
- 2016: 469
- 2017: 549
- 2018: 760
- 2019: 25
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30-day fills
30-day fills decreased 96% from 601 in 2015 to 25 in 2019.
- 2015: 601
- 2016: 482
- 2017: 563
- 2018: 780
- 2019: 25
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Part D drug cost
Part D drug cost decreased 96% from $13,565 in 2015 to $496 in 2019.
- 2015: $13,565
- 2016: $6,664
- 2017: $5,411
- 2018: $19,050
- 2019: $496
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2019), 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
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 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, 2017–2019; 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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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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180 | 83 | $80.00 | $69.88 |
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99239
Hospital discharge day management, more than 30 minutes
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77 | 73 | $115.00 | $102.84 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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70 | 69 | $150.00 | $131.95 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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30 | 21 | $110.00 | $101.61 |
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99219
Hospital observation care, typically 50 minutes
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15 | 14 | $150.00 | $132.92 |
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 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 13 | 375 | $461.79 | 12 |
| Prednisone | Prednisone | 12 | 116 | $33.75 | 12 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-01-04NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 25 N CANFIELD NILES RD STE 160, YOUNGSTOWN, OH 445152334 (Tel: 3309533250)
Registered at 25 N CANFIELD NILES RD STE 160, YOUNGSTOWN, OH 445152334 (Tel: 3309533250)
NPI status registered as active in NPPES database
Registered at 25 N CANFIELD-NILES ROAD, SUITE 160, YOUNGSTOWN, OH 445152332 (Tel: 3307922976)
Registered at 25 N CANFIELD NILES RD, SUITE 160, YOUNGSTOWN, OH 445152328 (Tel: 3307922976)
Recorded as THOMAS BAILEY, MD
Internal Medicine (license number reported to NPPES: OH 35080265B)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Youngstown
- Dr. Tejdeep Singh, MD
- Dr. Glenn Novak, DO
- Dr. Shannon Mcnally, MD
- Dr. Robert Spratt, MD
- Dr. Ahmad Mourra, MD
- Dr. Gregory Polcha, DO
Mailing Address
25 N Canfield Niles Rd Ste 160
Youngstown, OH 445152334
Phone: 3309533250