NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1275512469 MD
Verify on CMS → Barbara Barone, MD
Hospitalist Physician in Concord, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist 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
337
Medicare Part D claims · 132 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.4/100
▲ 12 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Barbara Barone, MD reported a CMS MIPS final score of 95.4/100 - above the 83.1 national average - and filed 337 Medicare Part D claims in 2023.
- 95.4/100
- MIPS score · +12 vs avg
- 337
- Part D claims, 2023
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Barbara Barone, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 21% higher than 79% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Barbara Barone, MD sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Barbara Barone, MD writes more Part D claims than 63% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Barbara Barone, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Barbara Barone, 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 Barbara Barone, MD?
High performer (top quartile)Primary specialty
Hospitalist Physician
Medicare Part D claims
337 62% vs specialty avg
MIPS final score
95.4/100 12.3 pts vs avg
Specialty distribution in North Carolina
How Hospitalist Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Barbara Barone, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 95.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 95.4/100 vs national avg 83.1
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).
Barbara Barone, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 920 CHURCH ST N, Concord, NC, 28025, with a listed phone of (704) 403-1331. NPI 1275512469 was issued on 01/16/2006.
Medicare Part D records for calendar year 2023 show 337 prescription claims written by this provider, covering 132 Medicare beneficiaries and totaling roughly $30K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 4.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.4/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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
Provider Details
| NPI | 1275512469 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 01/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Barbara Barone, 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.
Carolinas Physicians Network Inc
Charlotte, NC
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Barbara Barone, MD - brand share 12.0%
Hospitalist Physician average
12% brand-name claims vs 88% generic, on 337 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
337
Total Claims
$30K
Total Drug Cost
132
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 525
- Total Day Supply
- 12,948
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $24K
- Generic Drug Cost
- $6K
- Opioid Claims
- 16 (4.7% rate)
- Antibiotic Claims
- 50
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 2.38
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 31, 65-74: 41, 75-84: 44, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Barbara Barone, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
24 claims
- Atorvastatin Calcium
Atorvastatin Calcium
17 claims
- Eliquis
Eliquis
17 claims
- Lisinopril
Lisinopril
14 claims
- Clopidogrel
Clopidogrel
13 claims
- Cefpodoxime Proxetil
Cefpodoxime Proxetil
12 claims
- Omeprazole
Omeprazole
12 claims
- Prednisone
Prednisone
12 claims
| Drug | Claims |
|---|---|
| Furosemide | 24 |
| Atorvastatin Calcium | 17 |
| Eliquis Apixaban | 17 |
| Lisinopril | 14 |
| Clopidogrel Clopidogrel Bisulfate | 13 |
| Cefpodoxime Proxetil | 12 |
| Omeprazole | 12 |
| Prednisone | 12 |
| Amlodipine Besylate | 11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Barbara Barone, MD fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Barbara Barone, MD's 337 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Barone.
Dr. Mohammed Abdulhaleem
MD
Winston Salem, NC
Dr. Nicole Abello
DO
Asheville, NC
Elizabeth Abernathy
Charlotte, NC
Dr. Sudeep Acharya
M.D.
Chapel Hill, NC
Dr. Kevin Addison
MD
Mooresville, NC
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore North Carolina
Frequently Asked Questions
What is Barbara Barone, MD's specialty? ▼
Barbara Barone, MD specializes in Hospitalist Physician and practices in Concord, North Carolina. Credentials: MD.
How much does Barbara Barone, MD prescribe under Medicare Part D? ▼
In 2023, Barbara Barone, MD wrote 337 Medicare Part D claims totaling $30K in drug costs for 132 beneficiaries.
What is Barbara Barone, MD's Medicare quality score? ▼
Barbara Barone, MD has a CMS MIPS Final Score of 95.4/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Barbara Barone, MD located? ▼
Barbara Barone, MD is located at 920 CHURCH ST N, Concord, NC, 28025. Phone: (704) 403-1331.
What is Barbara Barone, MD's NPI number? ▼
Barbara Barone, MD's National Provider Identifier (NPI) is 1275512469, issued on 01/16/2006.
Does Barbara Barone, MD prescribe more brand-name or generic drugs? ▼
Barbara Barone, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $24K in brand drug costs.
Does Barbara Barone, MD prescribe opioids? ▼
Yes, Barbara Barone, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Barbara Barone, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Barbara Barone, MD's most frequently prescribed drugs include Furosemide, Atorvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Barbara Barone, MD accept Medicare? ▼
Barbara Barone, MD appears in CMS Medicare data with 337 Part D claims and 132 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Barbara Barone, MD's credentials? ▼
Barbara Barone, MD's NPI is 1275512469 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 (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
Compiled from official public sources by the PlainDoctor editorial team.