Benjamin Michael Bayly, DO
Individual provider Active NPI Emergency Medicine Physician · Cooperstown, NY
NPI 1760185649 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1760185649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 331407-01 (NY)
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326 - Phone
- (607) 547-3456
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Imogene Bassett Hospital
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
Hospital & facility affiliations
- Aurelia Osborn Fox Memorial Hospital
- Little Falls Hospital
- Cobleskill Regional Hospital
- Glens Falls Hospital
- Bassett Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250813002884 | NY | Practitioner - Emergency Medicine | 1456859867 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331407-01 | NY | MD | Emergency Medicine Physician |
| 64731 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current |
Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
130 North St
Walton, NY 13856
Phone (607) 865-6541
Interoperability endpoints
- bbayly22435@albanymed.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 64731 | NY | |
| Emergency Medicine Physician | 207P00000X | 331407-01 | NY | Yes |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326
Mailing address
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Other practice location 1
43 New Scotland Ave Dept Of
Albany, NY 12208-3412
Phone (518) 262-6455
Other providers in Cooperstown, NY
- Prapti Basnet
- Basset Medical Center
- Bassett Healthcare Network
- Michael A Bauer
- Monica Bauman
- Erin Canady Beech
- Carol K Beechy
- Maria Begum
- Linda Belden
- Jonathan Belknap
All providers in Cooperstown, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.