2026 NPPES data Nurse Practitioner NPI 1295149557
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HEATHER BAYLESS

Nurse Practitioner in YOUNGSTOWN, Ohio. 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
289
Medicare Part D claims · 150 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

HEATHER BAYLESS filed 289 Medicare Part D claims in 2023 as a Nurse Practitioner in YOUNGSTOWN, Ohio, prescribing 96% generic.

289
Part D claims, 2023
96%
generic prescribing

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.

HEATHER BAYLESS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

289 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about HEATHER BAYLESS?

Quality data not reported

NPI registry status

Active

Issued 06/16/2014

NPI 1295149557

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

289 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

Specialty distribution in Ohio

How Nurse Practitioner compares to other specialties among Ohio providers

Ohio providers

Nurse Practitioner share within Ohio

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nurse Practitioner) — 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).

HEATHER BAYLESS appears in the CMS NPPES registry as a Nurse Practitioner provider at 1044 BELMONT AVE, YOUNGSTOWN, OH, 44504, with a listed phone of (330) 480-3667. NPI 1295149557 was issued on 06/16/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAYLESS 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 289 prescription claims written by this provider, covering 150 Medicare beneficiaries and totaling roughly $7K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 10.7%. 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.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

1044 BELMONT AVE
YOUNGSTOWN, OH 44504

Provider Details

NPI 1295149557
Specialty Nurse Practitioner
Gender Female
NPI Issued 06/16/2014

Hospital and facility affiliations

Facilities where HEATHER BAYLESS 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.

OHMAN FAMILY LIVING MEDICAL SERVICES LLC
CHAGRIN FALLS, OH

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to HEATHER BAYLESS. To verify HEATHER BAYLESS's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

HEATHER BAYLESS — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 289 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.

289
Total Claims
$7K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
295
Total Day Supply
2,676
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$2K
Generic Drug Cost
$5K
Opioid Claims
31 (10.7% rate)
Antibiotic Claims
81

Patient Demographics

Average Patient Age
58.5 years
Avg HCC Risk Score
1.67
Gender Split
56% female / 44% male
Age Distribution
<65: 84, 65-74: 44, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What HEATHER BAYLESS prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Naproxen
26
Cephalexin
23
Prednisone
19
Doxycycline Hyclate
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
13
Ondansetron Hcl
11

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

Nurse Practitioner Overview

How HEATHER BAYLESS fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

HEATHER BAYLESS's 289 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Ohio

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEATHER BAYLESS's specialty?
HEATHER BAYLESS specializes in Nurse Practitioner and practices in YOUNGSTOWN, Ohio.
How much does HEATHER BAYLESS prescribe under Medicare Part D?
In 2023, HEATHER BAYLESS wrote 289 Medicare Part D claims totaling $7K in drug costs for 150 beneficiaries.
Where is HEATHER BAYLESS located?
HEATHER BAYLESS is located at 1044 BELMONT AVE, YOUNGSTOWN, OH, 44504. Phone: (330) 480-3667.
What is HEATHER BAYLESS's NPI number?
HEATHER BAYLESS's National Provider Identifier (NPI) is 1295149557, issued on 06/16/2014.
Does HEATHER BAYLESS prescribe more brand-name or generic drugs?
HEATHER BAYLESS's prescribing is 4% brand-name and 96% generic drugs by claim count, with $2K in brand drug costs.
Does HEATHER BAYLESS prescribe opioids?
Yes, HEATHER BAYLESS had 31 opioid claims in 2023 with an opioid prescribing rate of 10.7%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does HEATHER BAYLESS prescribe most often?
Based on 2023 Medicare Part D data, HEATHER BAYLESS's most frequently prescribed drugs include Naproxen, Cephalexin, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER BAYLESS accept Medicare?
HEATHER BAYLESS appears in CMS Medicare data with 289 Part D claims and 150 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER BAYLESS's credentials?
HEATHER BAYLESS's NPI is 1295149557. 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