Physician

Iain Matthew Bailey, M.D.

According to 2025 Medicare claims, Iain Bailey, M.D. (NPI: 1932631223) practices physical medicine and rehabilitation in the Kingsport-Bristol, TN-VA market, with the plurality of this provider's patient population coming from Sullivan, TN. This provider's primary affiliated billing organization is SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES (NPI: 1447203922; TIN: 621586223) and primary practice location at 37604-4008.

Bailey's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 391 traditional Medicare patients, billed 4,010 HCPCS/CPT codes, and received $114,667 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,635 prescription claims across 594 beneficiaries totaling $63,869 in drug costs, led by Xtampza Er (Oxycodone Myristate). Open Payments data shows 28 records totaling $1,297. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $3,683 to $63,869. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$57K$115K2022 Medicare payment: $16,379 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $114,274 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $114,667 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202288197$16,379
20233381,819$114,274
20243914,010$114,667

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$41K$82K2017 Drug cost: $3,683 (USD; Tot_Drug_Cst)2018 Drug cost: $16,117 (USD; Tot_Drug_Cst)2019 Drug cost: $6,679 (USD; Tot_Drug_Cst)2020 Drug cost: $2,597 (USD; Tot_Drug_Cst)2022 Drug cost: $12,673 (USD; Tot_Drug_Cst)2023 Drug cost: $81,877 (USD; Tot_Drug_Cst)2024 Drug cost: $63,869 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20171938$3,683
201835296$16,117
20191355$6,679
2020N/R32$2,597
2021N/RN/RN/R
202277184$12,673
20234881,713$81,877
20245941,635$63,869

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more8585$104
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level113158$93
64493Injection of lower or sacral spine facet joint using imaging guidance, single level65102$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more154229$73
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6977$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Xtampza ErOxycodone Myristate19539$13,913
Duloxetine HclDuloxetine Hcl32712,490$6,156
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1664,558$4,944
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1353,729$3,793
BuprenorphineBuprenorphine11310$2,346

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.28$1,297Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Iain Matthew Bailey, M.D.?

Tedicare shows public-source Medicare data for Iain Matthew Bailey, M.D. (NPI 1932631223), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Iain Matthew Bailey, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Iain Matthew Bailey, M.D.?

Iain Matthew Bailey, M.D. is linked to SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES (billing NPI 1447203922) in the available physician profile data.

Does Iain Matthew Bailey, M.D. have Open Payments data?

Iain Matthew Bailey, M.D. has 28 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.