2026 NPPES data Epilepsy Physician NPI 1962599092 MD, PHD
Verify on CMS →

GREGORY BARNES, MD, PHD

Epilepsy Physician in LOUISVILLE, Kentucky. 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
78
Medicare Part D claims · Epilepsy Physician avg: 878
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: GREGORY BARNES, MD, PHD is a Epilepsy Physician ([object Object]) practicing in LOUISVILLE, Kentucky with a Medicare Part D prescribing footprint of 78 claims . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: GREGORY BARNES, MD, PHD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 78 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

GREGORY BARNES, MD, PHD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/09/2006

NPI 1962599092

Primary specialty

Epilepsy Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

78 91% vs specialty avg

2023 prescription claims

Specialty avg: 878

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Epilepsy Physician compares to other specialties among Kentucky providers

Kentucky providers

Epilepsy Physician share within Kentucky

1. Epilepsy Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Epilepsy Physician share within Kentucky

Medicare quality performance — MIPS

GREGORY BARNES, MD, PHD's 2023 MIPS final score plotted against the Epilepsy Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Epilepsy Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Epilepsy Physician) — 100/100 vs national avg 83.1

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).

GREGORY BARNES, MD, PHD is a Epilepsy Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, PHD. NPI: 1962599092. 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.

GREGORY BARNES, MD, PHD appears in the CMS NPPES registry as a Epilepsy Physician provider holding MD, PHD credentials at 601 S FLOYD ST, LOUISVILLE, KY, 40202, with a listed phone of (502) 588-3650. NPI 1962599092 was issued on 10/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARNES 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 78 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $24K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Epilepsy Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 878 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

601 S FLOYD ST
LOUISVILLE, KY 40202

Provider Details

NPI 1962599092
Specialty Epilepsy Physician
Credentials MD, PHD
Gender Male
NPI Issued 10/09/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GREGORY BARNES, MD, PHD 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.

NORTON CHILDRENS MEDICAL GROUP LLC
BOWLING GREEN, KY

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

Medicare Part D Prescribing Data

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

78
Total Claims
$24K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
84
Total Day Supply
2,485
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
34.1 years
Avg HCC Risk Score
1.22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lacosamide
17

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

Epilepsy Physician Overview

How GREGORY BARNES, MD, PHD fits within the Epilepsy Physician landscape nationally.

354
Epilepsy Physician Providers in US
42
States with Epilepsy Physician
878
Avg Claims per Provider

GREGORY BARNES, MD, PHD's 78 claims are below the specialty average of 878.

Nearby Epilepsy Physician Providers in Kentucky

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

Compare Epilepsy Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GREGORY BARNES, MD, PHD's specialty?
GREGORY BARNES, MD, PHD specializes in Epilepsy Physician and practices in LOUISVILLE, Kentucky. Credentials: MD, PHD.
How much does GREGORY BARNES, MD, PHD prescribe under Medicare Part D?
In 2023, GREGORY BARNES, MD, PHD wrote 78 Medicare Part D claims totaling $24K in drug costs for N/A beneficiaries.
What is GREGORY BARNES, MD, PHD's Medicare quality score?
GREGORY BARNES, MD, PHD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GREGORY BARNES, MD, PHD located?
GREGORY BARNES, MD, PHD is located at 601 S FLOYD ST, LOUISVILLE, KY, 40202. Phone: (502) 588-3650.
What is GREGORY BARNES, MD, PHD's NPI number?
GREGORY BARNES, MD, PHD's National Provider Identifier (NPI) is 1962599092, issued on 10/09/2006.
How many Epilepsy Physician providers are there in the US?
There are 354 Epilepsy Physician providers across 42 states in the US. The average Epilepsy Physician provider writes 878 Medicare Part D claims per year.
What drugs does GREGORY BARNES, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, GREGORY BARNES, MD, PHD's most frequently prescribed drugs include Lacosamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GREGORY BARNES, MD, PHD accept Medicare?
GREGORY BARNES, MD, PHD appears in CMS Medicare data with 78 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GREGORY BARNES, MD, PHD's credentials?
GREGORY BARNES, MD, PHD's NPI is 1962599092 with credentials MD, PHD. 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.
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