CMS-1500 Box 24J / 33a • NPI
1730113358
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
2 POND PARK RD., STE. 102, HINGHAM, MA, 02043-4309
✓ 9-Digit EDI 837 ZIP+4 (02043-4309)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1730113358 (ERICA E. BAYLY, M.D.) 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
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1730113358)
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 56 |
27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 36 |
27245 | Treatment of broken neck of thigh bone with bone implant | 53 |
72190 | X-ray of pelvis, minimum of 3 views | 27 |
73030 | X-ray of shoulder, minimum of 2 views | 24 |
73502 | X-ray of hip, 2-3 views | 108 |
73552 | X-ray of thigh bone, minimum 2 views | 135 |
73560 | X-ray of knee, 1-2 views | 53 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1730113358 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ERICA E. BAYLY, M.D. |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 2 POND PARK RD., STE. 102, HINGHAM, MA, 02043-4309 |
| Practice Telephone / Fax | Tel: (781) 337-5555 | Fax: (781) 331-0300 |
| Administrative Mailing Address | 2 POND PARK RD., HINGHAM, MA, 02043-4309 |
| Enumeration & Last Sync | Enumerated: 2006-07-10 | CMS Record Updated: 2022-09-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ERICA E. BAYLY, M.D.)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207XX0801X — Orthopaedic Surgery, Orthopaedic TraumaPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: MA | License: 238635 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: MA | License: 238635 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: MA | License: 238635 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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