PlainDoctor

2026 NPPES data Procedural Dermatology Physician NPI 1720073596 MD
Verify on CMS →

Byron Baldridge, MD

Procedural Dermatology Physician in Helena, Montana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 691 in Procedural Dermatology 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
439
Medicare Part D claims · 193 beneficiaries · Procedural Dermatology Physician avg: 726
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1/100
▲ 14 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Byron Baldridge, MD reported a CMS MIPS final score of 97.1/100 - above the 83.5 national average - and filed 439 Medicare Part D claims in 2024.

97.1/100
MIPS score · +14 vs avg
439
Part D claims, 2024
94%
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.

Federal trust snapshot

What official records show about Byron Baldridge, MD

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 1720073596), first enumerated 09/16/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 439 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 97.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    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.

    Source: NUCC taxonomy + CMS participation heuristic

  • 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 1720073596 · Procedural Dermatology Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1720073596
  • ENUM-LEGACY 2005
  • TAX-NARROW 691
  • MIPS-ELITE 97.1/100
  • RX-LIGHT 439
  • BOOK-THIN 1 in Montana
  • PHOTO-FINISH Brundha Balaraman · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Byron Baldridge, MD'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.

97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Byron Baldridge, MD sits

This provider among procedural dermatology physician peers

Across the 245 procedural dermatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Byron Baldridge, MD writes more Part D claims than 31% of them and scores higher on MIPS quality than 75% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Byron Baldridge, MD, Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 75
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one procedural dermatology physician peer from a representative sample of 60; the gold marker is Byron Baldridge, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Byron Baldridge, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Byron Baldridge, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/16/2005

NPI 1720073596

Primary specialty

Procedural Dermatology Physician

Niche

691 US NPIs in this specialty

Medicare Part D claims

439 40% vs specialty avg

2024 prescription claims

Specialty avg: 726

MIPS final score

97.1/100 13.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Montana

How Procedural Dermatology Physician compares to other specialties among Montana providers

Montana providers
Clinical Social Worker6.4%Physical Therapist6.4%Mental Health Counselor5.1%Pharmacist5%Professional Counselor4.3%Addiction (Substance Use Dis…4.2%Procedural Dermatology Physi…0%
Largest specialties in Montana (% of in-state providers)

Medicare quality performance, MIPS

Byron Baldridge, MD's 2023 MIPS final score plotted against the Procedural Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
97.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%97.1%
MIPS final score (Procedural Dermatology Physician) - 97.1/100 vs national avg 83.5
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

1 MEDICAL PARK DR # 201B
Helena, MT 59601
(406) 443-7200

Provider Details

NPI 1720073596
Specialty Procedural Dermatology Physician
Credentials MD
Gender Male
NPI Issued 09/16/2005

CMS Quality Score (MIPS)

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

97.0949
Final Score
Measured-score avg: 83.5
92.7373
Quality
100
Cost

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

Byron Baldridge, MD - brand share 6.0%
Procedural Dermatology Physician average

6% brand-name claims vs 94% generic, on 439 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.

439
Total Claims
$135K
Total Drug Cost
193
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
486.2
Total Day Supply
12,450
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$123K
Generic Drug Cost
$12K
Antibiotic Claims
50

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
0.87
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Byron Baldridge, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Clobetasol Propionate
 82
Triamcinolone Acetonide
 72
Hydrocortisone
 44
Fluorouracil
 38
Betamethasone Dipropionate
 30
Cephalexin
 18
Minocycline Hcl
 18
Cosentyx Sensoready (2 Pens)
Secukinumab
13
Prednisone
 12
Metronidazole
 11

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

More Procedural Dermatology Physician in MT → All providers in Montana → Compare specialties →

Procedural Dermatology Physician Overview

How Byron Baldridge, MD fits within the Procedural Dermatology Physician landscape nationally.

691
Procedural Dermatology Physician Providers in US
49
States with Procedural Dermatology Physician
726
Avg Claims per Provider

Byron Baldridge, MD's 439 claims are below the specialty average of 726.

Nationwide Procedural Dermatology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Baldridge, both outside Montana so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (97.1 here).

Brundha Balaraman 97.1 TX Karen Suchin 97.3 NJ Joan Griner Licht 96.7 MI Harry Saperstein 97.5 CA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Joseph Wojciechowski Rochester, NY Richard White Rock Hill, SC H. Eliot Y. Ghatan Brooklyn, NY Farhad Niroomand Dallas, TX

Frequently Asked Questions

What is Byron Baldridge, MD's specialty? ▼
Byron Baldridge, MD specializes in Procedural Dermatology Physician and practices in Helena, Montana. Credentials: MD.
How much does Byron Baldridge, MD prescribe under Medicare Part D? ▼
In 2024, Byron Baldridge, MD wrote 439 Medicare Part D claims totaling $135K in drug costs for 193 beneficiaries.
What is Byron Baldridge, MD's Medicare quality score? ▼
Byron Baldridge, MD has a CMS MIPS Final Score of 97.1/100 (Quality: 92.7, Cost: 100). 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 Byron Baldridge, MD located? ▼
Byron Baldridge, MD is located at 1 MEDICAL PARK DR # 201B, Helena, MT, 59601. Phone: (406) 443-7200.
What is Byron Baldridge, MD's NPI number? ▼
Byron Baldridge, MD's National Provider Identifier (NPI) is 1720073596, issued on 09/16/2005.
Does Byron Baldridge, MD prescribe more brand-name or generic drugs? ▼
Byron Baldridge, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $123K in brand drug costs.
How many Procedural Dermatology Physician providers are there in the US? ▼
There are 691 Procedural Dermatology Physician providers across 49 states in the US. The average Procedural Dermatology Physician provider writes 726 Medicare Part D claims per year.
What drugs does Byron Baldridge, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Byron Baldridge, MD's most frequently prescribed drugs include Clobetasol Propionate, Triamcinolone Acetonide, Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Byron Baldridge, MD accept Medicare? ▼
Byron Baldridge, MD appears in CMS Medicare data with 439 Part D claims and 193 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Byron Baldridge, MD's credentials? ▼
Byron Baldridge, MD's NPI is 1720073596 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

Compiled from official public sources by the editorial process.

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.