2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1992715502 MD
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ALISON BAILEY, MD

Advanced Heart Failure and Transplant Cardiology Physician in GAINESVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 349 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$5.1K
70 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ALISON BAILEY, MD is a Advanced Heart Failure and Transplant Cardiology Physician ([object Object]) practicing in GAINESVILLE, Georgia with a Medicare Part D prescribing footprint of 3K claims across 349 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.1K across 70 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ALISON BAILEY, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 3,195 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ALISON BAILEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ALISON BAILEY, MD at a glance

Below national average

NPI registry status

Active

Issued 08/08/2006

NPI 1992715502

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

3,195 81% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Georgia providers

Georgia providers

Advanced Heart Failure and Transplant Cardiology Physician share within Georgia

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within Georgia

Medicare quality performance — MIPS

ALISON BAILEY, MD's 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ALISON BAILEY, MD is a Advanced Heart Failure and Transplant Cardiology Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1992715502. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALISON BAILEY, MD appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding MD credentials at 200 S ENOTA DR NE STE 100, GAINESVILLE, GA, 30501, with a listed phone of (770) 534-2020. NPI 1992715502 was issued on 08/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAILEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,195 prescription claims written by this provider, covering 349 Medicare beneficiaries and totaling roughly $1.0 million in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501

Provider Details

NPI 1992715502
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials MD
Gender Female
NPI Issued 08/08/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where ALISON BAILEY, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
MORGANTOWN, WV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ALISON BAILEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$5.1K

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,195
Total Claims
$1.0M
Total Drug Cost
349
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,737
Total Day Supply
201,133
Generic Drug Cost
$83K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.73
Gender Split
53% female / 47% male
Age Distribution
<65: 45, 65-74: 148, 75-84: 122, 85+: 34

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Spironolactone
351
Losartan Potassium
249
Carvedilol
230
Metoprolol Succinate
152
Eliquis
Apixaban
142
Atorvastatin Calcium
134
Ozempic
Semaglutide
133
Jardiance
Empagliflozin
131
Entresto
Sacubitril/Valsartan
104
Farxiga
Dapagliflozin Propanediol
103

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Advanced Heart Failure and Transplant Cardiology Physician Overview

How ALISON BAILEY, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

ALISON BAILEY, MD's 3,195 claims are above the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BAILEY.

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALISON BAILEY, MD's specialty?
ALISON BAILEY, MD specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in GAINESVILLE, Georgia. Credentials: MD.
How much does ALISON BAILEY, MD prescribe under Medicare Part D?
In 2023, ALISON BAILEY, MD wrote 3,195 Medicare Part D claims totaling $1.0M in drug costs for 349 beneficiaries.
What is ALISON BAILEY, MD's Medicare quality score?
ALISON BAILEY, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALISON BAILEY, MD located?
ALISON BAILEY, MD is located at 200 S ENOTA DR NE STE 100, GAINESVILLE, GA, 30501. Phone: (770) 534-2020.
What is ALISON BAILEY, MD's NPI number?
ALISON BAILEY, MD's National Provider Identifier (NPI) is 1992715502, issued on 08/08/2006.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does ALISON BAILEY, MD prescribe most often?
Based on 2023 Medicare Part D data, ALISON BAILEY, MD's most frequently prescribed drugs include Spironolactone, Losartan Potassium, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALISON BAILEY, MD accept Medicare?
ALISON BAILEY, MD appears in CMS Medicare data with 3,195 Part D claims and 349 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALISON BAILEY, MD's credentials?
ALISON BAILEY, MD's NPI is 1992715502 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology