DERRICK A BAILEY (MD) – Internal Medicine Physician, NPI 1053508945

DERRICK A BAILEY (MD) is a healthcare provider. based in Port saint lucie, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 23594 (CT). The NPI Number for DERRICK A BAILEY (MD) is 1053508945

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK A BAILEY (MD)
NPI
1053508945
Phone
(772) 335-2614
Address
1900SEPORT ST LUCIE BLVD
Enumeration Date
25 September 2007
Last Update Date
9 October 2015

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7722991092
Graduation Year
1979 (47 years ago)
PAC ID
8123114980
Group Practice PAC ID
3971554825
Professional Enrollment ID
I20151103002895
Address ID
FL329600933VE640XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,447 INTERNAL MEDICINE in CT

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Provider Addresses for DERRICK A BAILEY (MD)

  • 1900SEPORT ST LUCIE BLVD

    PORT SAINT LUCIE, FL 349525554

    Phone: (772) 335-2614

    Type: Mailing

  • 240, East Street, Plainville, Hartford County, Connecticut, 06062, United States

    PLAINVILLE, CT 060622935

    Phone: (860) 747-4541

    Fax: (860) 793-1218

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151103002895IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes275240$0
99204New patient office or other outpatient visit, 45-59 minutes241241$0
99203New patient office or other outpatient visit, 30-44 minutes211211$0
99214Established patient office or other outpatient visit, 30-39 minutes211193$0
J1100Injection, dexamethasone sodium phosphate, 1 mg16016$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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Provider's Procedures

DERRICK A BAILEY (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECT73562X-ray of knee, 3 views1717
FAMILY MEDICINECT81002Urinalysis, manual test120113

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971554825View full group profile

Reviews

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Frequently asked questions

What identifier follows DERRICK A BAILEY (MD) across health systems?
The NPI 1053508945 uniquely identifies DERRICK A BAILEY (MD) in U.S. healthcare data.
Is DERRICK A BAILEY (MD) currently accepting referrals based on NPI status?
Registry metadata lists DERRICK A BAILEY (MD) as active.
What services align with DERRICK A BAILEY (MD)'s listing?
DERRICK A BAILEY (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DERRICK A BAILEY (MD) in Port Saint Lucie, Florida?
For routing, start with Port Saint Lucie, Florida for DERRICK A BAILEY (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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