NPI registry status
Active
2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1265436141 D.P.M.
Verify on CMS → Brian Bailey, D.P.M.
Foot & Ankle Surgery Podiatrist in Ashland, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,134 in Foot & Ankle Surgery Podiatrist, 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
139
Medicare Part D claims · 43 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 333
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.1/100
▲ 5 pts above national avg 83.5 · Above neutral
Industry payments
$39.33
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Brian Bailey, D.P.M. reported a CMS MIPS final score of 88.1/100 - above the 83.5 national average - and filed 139 Medicare Part D claims in 2024.
- 88.1/100
- MIPS score · +5 vs avg
- 139
- Part D claims, 2024
- 91%
- generic prescribing
- $39.33
- industry payments (Sunshine Act)
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 Brian Bailey, D.P.M.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1265436141), first enumerated 06/09/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 139 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)
Reported a CMS MIPS final score of 88.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$39.33 in reported industry payments (2 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 1265436141 · Foot & Ankle Surgery Podiatrist
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1265436141
- ENUM-LEGACY 2005
- TAX-MID 9K Foot &
- MIPS-ABOVE 88.1/100
- RX-LIGHT 139
- BOOK-THIN 124 in Kentucky
- PHOTO-FINISH Jano Boghossian · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Derek Harper · l…
Derek Harper
88 MIPS pts
- Bailey · this pr…
Bailey · this provider
88.1 MIPS pts
- Jano Boghossian …
Jano Boghossian
88.1 MIPS pts
- David Huntsman ·…
David Huntsman
88.1 MIPS pts
- Charles Peebles …
Charles Peebles
88.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Brian Bailey, D.P.M.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
88 ≥ 54th percentile 54% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Brian Bailey, D.P.M. sits
This provider among foot & ankle surgery podiatrist peers
Across the 2,542 foot & ankle surgery podiatrist providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Bailey, D.P.M. writes more Part D claims than 27% of them and scores higher on MIPS quality than 67% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one foot & ankle surgery podiatrist peer from a representative sample of 60; the gold marker is Brian Bailey, D.P.M.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Brian Bailey, D.P.M.?
High performer (top quartile)Primary specialty
Foot & Ankle Surgery Podiatrist
Medicare Part D claims
139 58% vs specialty avg
MIPS final score
88.1/100 4.6 pts vs avg
Specialty distribution in Kentucky
How Foot & Ankle Surgery Podiatrist compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Brian Bailey, D.P.M.'s 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average
- MIPS Final Score
- 88.1/100
- vs 83.5 national avg · 2023 performance year
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 | 1265436141 |
|---|---|
| Specialty | Foot & Ankle Surgery Podiatrist |
| Credentials | D.P.M. |
| Gender | Male |
| NPI Issued | 06/09/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
88.065
Final Score
Measured-score avg: 83.5
60.1183
Quality
100
Promoting Interoperability
Reporting: Group practice
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 Brian Bailey, D.P.M.. Source: openpaymentsdata.cms.gov.
Total received
$39
Largest payer
DJO, LLC
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.
Brand vs generic prescribing mix · Generic-heavy
Brian Bailey, D.P.M. - brand share 9.0%
Foot & Ankle Surgery Podiatrist average
9% brand-name claims vs 91% generic, on 139 2024 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 2024.
139
Total Claims
$5K
Total Drug Cost
43
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 150.333
- Total Day Supply
- 3,525
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 34
Patient Demographics
- Average Patient Age
- 67.7 years
- Avg HCC Risk Score
- 2.19
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 12, 65-74: 18, 75-84: 13, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Gabapentin | 54 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Foot & Ankle Surgery Podiatrist Overview
How Brian Bailey, D.P.M. fits within the Foot & Ankle Surgery Podiatrist landscape nationally.
9,134
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
333
Avg Claims per Provider
Brian Bailey, D.P.M.'s 139 claims are below the specialty average of 333.
Nationwide Foot & Ankle Surgery Podiatrist peers with similar MIPS or enrollment year
Two federal-record peer sets for Bailey, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (88.1 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Foot & Ankle Surgery Podiatrist Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Bailey.
One of 124 Foot & Ankle Surgery Podiatrist providers enrolled in Kentucky, 5 are shown here.
Dr. Shekwonugaza Aboki
DPM
Somerset, KY
Dr. Abraham Adam
DPM
Louisville, KY
Dr. Ali Ahmed
DPM
Lexington, KY
Dr. Syed Ahmed
DPM
Elizabethtown, KY
Dr. Michael Allen
DPM
Lexington, KY
Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Brian Bailey, D.P.M.'s specialty? ▼
Brian Bailey, D.P.M. specializes in Foot & Ankle Surgery Podiatrist and practices in Ashland, Kentucky. Credentials: D.P.M..
How much does Brian Bailey, D.P.M. prescribe under Medicare Part D? ▼
In 2024, Brian Bailey, D.P.M. wrote 139 Medicare Part D claims totaling $5K in drug costs for 43 beneficiaries.
What is Brian Bailey, D.P.M.'s Medicare quality score? ▼
Brian Bailey, D.P.M. has a CMS MIPS Final Score of 88.1/100 (Quality: 60.1). 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 Brian Bailey, D.P.M. located? ▼
Brian Bailey, D.P.M. is located at 500 14TH ST, Ashland, KY, 41101. Phone: (606) 324-3668.
What is Brian Bailey, D.P.M.'s NPI number? ▼
Brian Bailey, D.P.M.'s National Provider Identifier (NPI) is 1265436141, issued on 06/09/2005.
Does Brian Bailey, D.P.M. prescribe more brand-name or generic drugs? ▼
Brian Bailey, D.P.M.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $4K in brand drug costs.
How many Foot & Ankle Surgery Podiatrist providers are there in the US? ▼
There are 9,134 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 333 Medicare Part D claims per year.
What drugs does Brian Bailey, D.P.M. prescribe most often? ▼
Based on 2024 Medicare Part D data, Brian Bailey, D.P.M.'s most frequently prescribed drugs include Gabapentin, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Bailey, D.P.M. accept Medicare? ▼
Brian Bailey, D.P.M. appears in CMS Medicare data with 139 Part D claims and 43 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Bailey, D.P.M.'s credentials? ▼
Brian Bailey, D.P.M.'s NPI is 1265436141 with credentials D.P.M.. 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.