ETHAN BAILEY (PA) – Physician Assistant, NPI 1679023345
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
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Provider Addresses for ETHAN BAILEY (PA)
Greenwood, Trent Woods, Craven County, North Carolina, 28562, United States
GREENWOOD, IN 461437424
Phone: (317) 313-0708
Type: Location
PO BOX 775383
CHICAGO, IL 606775383
Phone: (812) 375-3000
Fax: (812) 375-3477
Type: Mailing
2326 18TH ST STE 130
COLUMBUS, IN 472015362
Phone: (812) 376-5070
Type: Location
703 TRENT DR
GREENWOOD, IN 461437424
Phone:
Type: Mailing
4665 N US HIGHWAY 31
COLUMBUS, IN 472018558
Phone: (812) 376-9353
Fax: (812) 376-3757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Bioventus LLC ($47).
Total Amount
$106
General + Research + Ownership
Payments
6
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $47 |
| Ferring Pharmaceuticals Inc. | $30 |
| Inspire Medical Systems, Inc. | $28 |
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: 2021-07-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210702002678 | I | Physician Assistant | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 104 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 32 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 33 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 46143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery | IN | |
| Physical Therapist In Private Practice | IN | |
| - | NV | |
| - | IN |
Reviews
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