NPI registry status
Active
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 679 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
451
Medicare Part D claims · 185 beneficiaries · Procedural Dermatology Physician avg: 664
MIPS score
97.1/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Byron Baldridge, MD reported a CMS MIPS final score of 97.1/100 - above the 83.1 national average - and filed 451 Medicare Part D claims in 2023.
- 97.1/100
- MIPS score · +14 vs avg
- 451
- Part D claims, 2023
- 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.
Byron Baldridge, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% 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 Byron Baldridge, MD sits
This provider among procedural dermatology physician peers
Across the 302 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 79% - placing this provider in the lower-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 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)Primary specialty
Procedural Dermatology Physician
Medicare Part D claims
451 32% vs specialty avg
MIPS final score
97.1/100 14 pts vs avg
Specialty distribution in Montana
How Procedural Dermatology Physician compares to other specialties among Montana providers
Medicare quality performance, MIPS
Byron Baldridge, MD's 2023 MIPS final score plotted against the Procedural Dermatology Physician national average
- MIPS Final Score
- 97.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Procedural Dermatology Physician) - 97.1/100 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).
Byron Baldridge, MD appears in the CMS NPPES registry as a Procedural Dermatology Physician provider holding MD credentials at 1 MEDICAL PARK DR # 201B, Helena, MT, 59601, with a listed phone of (406) 443-7200. NPI 1720073596 was issued on 09/16/2005.
Medicare Part D records for calendar year 2023 show 451 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $154K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1/100 for the 2023 performance year (Quality 92.7, Cost 100), compared with the national average of 83.1.
Procedural Dermatology Physician is a narrow specialty nationwide, with 679 enrolled providers across 48 states and an average of 664 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 | 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
Avg: 83.1
92.7373
Quality
100
Cost
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
451
Total Claims
$154K
Total Drug Cost
185
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 492
- Total Day Supply
- 12,134
- Generic Drug Cost
- $18K
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 75.5 years
- Avg HCC Risk Score
- 0.93
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Byron Baldridge, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Triamcinolone Acet…
Triamcinolone Acetonide
99 claims
- Clobetasol Propion…
Clobetasol Propionate
55 claims
- Hydrocortisone
Hydrocortisone
50 claims
- Betamethasone Dipr…
Betamethasone Dipropionate
43 claims
- Fluorouracil 29
Fluorouracil
29 claims
- Cephalexin 23
Cephalexin
23 claims
- Prednisone 13
Prednisone
13 claims
- Cosentyx Sensoread… 12
Cosentyx Sensoready (2 Pens)
12 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 99 |
| Clobetasol Propionate | 55 |
| Hydrocortisone | 50 |
| Betamethasone Dipropionate | 43 |
| Fluorouracil | 29 |
| Cephalexin | 23 |
| Prednisone | 13 |
| Cosentyx Sensoready (2 Pens) Secukinumab | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Procedural Dermatology Physician Overview
How Byron Baldridge, MD fits within the Procedural Dermatology Physician landscape nationally.
679
Procedural Dermatology Physician Providers in US
48
States with Procedural Dermatology Physician
664
Avg Claims per Provider
Byron Baldridge, MD's 451 claims are below the specialty average of 664.
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 Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Procedural Dermatology 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.
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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 2023, Byron Baldridge, MD wrote 451 Medicare Part D claims totaling $154K in drug costs for 185 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 national average MIPS Final Score is 83.1. 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.
How many Procedural Dermatology Physician providers are there in the US? ▼
There are 679 Procedural Dermatology Physician providers across 48 states in the US. The average Procedural Dermatology Physician provider writes 664 Medicare Part D claims per year.
What drugs does Byron Baldridge, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Byron Baldridge, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Clobetasol Propionate, 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 451 Part D claims and 185 Medicare beneficiaries in 2023. 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 (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.