CMS-1500 Box 24J / 33a • NPI
1376683268
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
269 PORTLAND WAY S, GALION, OH, 44833-2312
✓ 9-Digit EDI 837 ZIP+4 (44833-2312)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376683268 (RONALD H BAILEY, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1376683268)
Medicare Beneficiaries
292
Total Billed Services
386
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$29,623.48
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 70 |
99282 | Emergency department visit with straightforward medical decision making | 14 |
99283 | Emergency department visit with low level of medical decision making | 105 |
99284 | Emergency department visit with moderate level of medical decision making | 110 |
99285 | Emergency department visit with high level of medical decision making | 79 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 27 | 27 |
| Azithromycin Azithromycin | 20 | 19 |
| Cephalexin Cephalexin | 38 | 37 |
| Dicyclomine Hcl Dicyclomine Hcl | 18 | 18 |
| Doxycycline Hyclate Doxycycline Hyclate | 11 | 11 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 47 | 47 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 85 | 84 |
| Metronidazole Metronidazole | 13 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376683268 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RONALD H BAILEY, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 269 PORTLAND WAY S, GALION, OH, 44833-2312 |
| Practice Telephone / Fax | Tel: (419) 462-4600 | Fax: (419) 462-4609 |
| Administrative Mailing Address | 700 N COLUMBUS ST, CRESTLINE, OH, 44827-1455 |
| Enumeration & Last Sync | Enumerated: 2007-02-08 | CMS Record Updated: 2025-10-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RONALD H BAILEY, PA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: OH | License: 50-001128 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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