2026 NPPES data Emergency Medicine Physician NPI 1265852586 MD
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CARY BYBEE, MD

Emergency Medicine Physician in SHELBY, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
979
Medicare Part D claims · 185 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$52.12
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CARY BYBEE, MD is a Emergency Medicine Physician ([object Object]) practicing in SHELBY, Montana with a Medicare Part D prescribing footprint of 979 claims across 185 beneficiaries — 14% brand-name prescribing . Industry payments of $52.12 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARY BYBEE, MD filed 979 Medicare Part D claims in 2023 across SHELBY, Montana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CARY BYBEE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CARY BYBEE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/25/2014

NPI 1265852586

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

979 178% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Montana

How Emergency Medicine Physician compares to other specialties among Montana providers

Montana providers

Emergency Medicine Physician share within Montana

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Montana

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

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).

CARY BYBEE, MD is a Emergency Medicine Physician provider practicing in SHELBY, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265852586. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARY BYBEE, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1950 W ROOSEVELT HWY, SHELBY, MT, 59474, with a listed phone of (406) 434-3100. NPI 1265852586 was issued on 04/25/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BYBEE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 979 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $82K in drug spend, split 14% brand-name and 86% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1950 W ROOSEVELT HWY
SHELBY, MT 59474

Provider Details

NPI 1265852586
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/25/2014

Hospital and facility affiliations

Facilities where CARY BYBEE, 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.

MARIAS HEALTHCARE SERVICES INC.
CONRAD, MT

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 CARY BYBEE, MD. Source: openpaymentsdata.cms.gov.

Total received

$52

Largest payer

Lilly USA, 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 · Typical

CARY BYBEE, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 979 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.

979
Total Claims
$82K
Total Drug Cost
185
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,581
Total Day Supply
42,438
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$67K
Generic Drug Cost
$16K
Antibiotic Claims
116

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
0.96
Gender Split
50% female / 50% male
Age Distribution
<65: 19, 65-74: 90, 75-84: 56, 85+: 20

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Cephalexin
66
Metformin Hcl Er
Metformin Hcl
43
Lisinopril
41
Atorvastatin Calcium
36
Levothyroxine Sodium
30
Prednisone
30
Azithromycin
25
Amlodipine Besylate
24
Eliquis
Apixaban
24
Xarelto
Rivaroxaban
24

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

Emergency Medicine Physician Overview

How CARY BYBEE, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

CARY BYBEE, MD's 979 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Montana

Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as BYBEE.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARY BYBEE, MD's specialty?
CARY BYBEE, MD specializes in Emergency Medicine Physician and practices in SHELBY, Montana. Credentials: MD.
How much does CARY BYBEE, MD prescribe under Medicare Part D?
In 2023, CARY BYBEE, MD wrote 979 Medicare Part D claims totaling $82K in drug costs for 185 beneficiaries.
Where is CARY BYBEE, MD located?
CARY BYBEE, MD is located at 1950 W ROOSEVELT HWY, SHELBY, MT, 59474. Phone: (406) 434-3100.
What is CARY BYBEE, MD's NPI number?
CARY BYBEE, MD's National Provider Identifier (NPI) is 1265852586, issued on 04/25/2014.
Does CARY BYBEE, MD prescribe more brand-name or generic drugs?
CARY BYBEE, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $67K in brand drug costs.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does CARY BYBEE, MD prescribe most often?
Based on 2023 Medicare Part D data, CARY BYBEE, MD's most frequently prescribed drugs include Cephalexin, Metformin Hcl Er, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARY BYBEE, MD accept Medicare?
CARY BYBEE, MD appears in CMS Medicare data with 979 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 CARY BYBEE, MD's credentials?
CARY BYBEE, MD's NPI is 1265852586 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

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.
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