2026 NPPES data Emergency Medicine Physician NPI 1295832079 M.D.
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DEBRA BAINES, M.D.

Emergency Medicine Physician in CHICAGO, Illinois. 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
83
Medicare Part D claims · 75 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data reveals: DEBRA BAINES, M.D. is a Emergency Medicine Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 83 claims across 75 beneficiaries .

What stands out: DEBRA BAINES, M.D. filed 83 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DEBRA BAINES, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DEBRA BAINES, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/20/2006

NPI 1295832079

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

83 76% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Illinois

How Emergency Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Emergency Medicine Physician share within Illinois

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

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).

DEBRA BAINES, M.D. is a Emergency Medicine Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295832079. 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.

DEBRA BAINES, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 2525 S MICHIGAN AVE, CHICAGO, IL, 60616, with a listed phone of (312) 567-2000. NPI 1295832079 was issued on 09/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAINES 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 83 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $1K in drug spend. 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

2525 S MICHIGAN AVE
CHICAGO, IL 60616

Provider Details

NPI 1295832079
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 09/20/2006

Hospital and facility affiliations

Facilities where DEBRA BAINES, M.D. 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.

LOYOLA UNIVERSITY MEDICAL CENTER
★★☆☆☆ 2/5
MAYWOOD, IL
Acute Care Hospitals
CMS CCN: 140276
UNIVERSITY OF CHICAGO
HOMEWOOD, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to DEBRA BAINES, M.D.. To verify DEBRA BAINES, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

83
Total Claims
$1K
Total Drug Cost
75
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
83
Total Day Supply
686
Generic Drug Cost
$553
Antibiotic Claims
22

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.31
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Diclofenac Sodium
15

* 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 DEBRA BAINES, M.D. 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

DEBRA BAINES, M.D.'s 83 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Illinois

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

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

Frequently Asked Questions

What is DEBRA BAINES, M.D.'s specialty?
DEBRA BAINES, M.D. specializes in Emergency Medicine Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does DEBRA BAINES, M.D. prescribe under Medicare Part D?
In 2023, DEBRA BAINES, M.D. wrote 83 Medicare Part D claims totaling $1K in drug costs for 75 beneficiaries.
Where is DEBRA BAINES, M.D. located?
DEBRA BAINES, M.D. is located at 2525 S MICHIGAN AVE, CHICAGO, IL, 60616. Phone: (312) 567-2000.
What is DEBRA BAINES, M.D.'s NPI number?
DEBRA BAINES, M.D.'s National Provider Identifier (NPI) is 1295832079, issued on 09/20/2006.
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 DEBRA BAINES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DEBRA BAINES, M.D.'s most frequently prescribed drugs include Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEBRA BAINES, M.D. accept Medicare?
DEBRA BAINES, M.D. appears in CMS Medicare data with 83 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEBRA BAINES, M.D.'s credentials?
DEBRA BAINES, M.D.'s NPI is 1295832079 with credentials M.D.. 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