NPI registry status
Active
2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1992715502 MD
Verify on CMS → Alison Bailey, MD
Advanced Heart Failure and Transplant Cardiology Physician in Gainesville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 566 in Advanced Heart Failure and Transplant Cardiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 404 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$5.1K
70 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Alison Bailey, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 4,066 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 4K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥91st
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Alison Bailey, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1992715502), first enumerated 08/08/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,066 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$5.1K in reported industry payments (70 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1992715502 · Advanced Heart Failure and Transplant Cardiology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1992715502
- ENUM-LEGACY 2006
- TAX-NARROW 566
- MIPS-NEUTRAL 75/100
- RX-MID 4,066
- BOOK-THIN 24 in Georgia
- PHOTO-ENUM John Bisognano · 2006
Alison Bailey, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
4,066 ≥ 91st percentile 91% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
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).
What does the federal data show about Alison Bailey, MD?
CMS neutral score, not measuredPrimary specialty
Advanced Heart Failure and Transplant Cardiology Physician
Medicare Part D claims
4,066 112% vs specialty avg
MIPS final score
75/100
Specialty distribution in Georgia
How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Georgia providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
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).
Practice Address
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
CMS neutral threshold · not measured
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 2024.
4,066
Total Claims
$1.4M
Total Drug Cost
404
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,517.433
- Total Day Supply
- 253,860
- Generic Drug Cost
- $58K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 1.76
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 50, 65-74: 164, 75-84: 154, 85+: 36
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Alison Bailey, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Spironolactone
Spironolactone
418 claims
- Losartan Potassium
Losartan Potassium
259 claims
- Carvedilol
Carvedilol
241 claims
- Jardiance
Jardiance
213 claims
- Eliquis
Eliquis
205 claims
- Ozempic
Ozempic
183 claims
- Metoprolol Succinate
Metoprolol Succinate
181 claims
- Farxiga
Farxiga
179 claims
| Drug | Claims |
|---|---|
| Spironolactone | 418 |
| Losartan Potassium | 259 |
| Carvedilol | 241 |
| Jardiance Empagliflozin | 213 |
| Eliquis Apixaban | 205 |
| Ozempic Semaglutide | 183 |
| Metoprolol Succinate | 181 |
| Farxiga Dapagliflozin Propanediol | 179 |
| Atorvastatin Calcium | 174 |
| Dilt-Xr Diltiazem Hcl | 126 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Advanced Heart Failure and Transplant Cardiology Physician in GA →
All providers in Georgia →
Compare specialties →
Advanced Heart Failure and Transplant Cardiology Physician Overview
How Alison Bailey, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.
566
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,916
Avg Claims per Provider
Alison Bailey, MD's 4,066 claims are above the specialty average of 1,916.
Nationwide Advanced Heart Failure and Transplant Cardiology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bailey, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 24 Advanced Heart Failure and Transplant Cardiology Physician providers enrolled in Georgia, 5 are shown here.
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 2024, Alison Bailey, MD wrote 4,066 Medicare Part D claims totaling $1.4M in drug costs for 404 beneficiaries.
What is Alison Bailey, MD's Medicare quality score? ▼
Alison Bailey, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 566 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 1,916 Medicare Part D claims per year.
What drugs does Alison Bailey, MD prescribe most often? ▼
Based on 2024 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 4,066 Part D claims and 404 Medicare beneficiaries in 2024. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.