2026 NPPES data Emergency Medicine Physician NPI 1235335886 D.O.
Verify on CMS →

HILARY BASHAM, D.O.

Emergency Medicine Physician in BEDFORD, Virginia. 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
358
Medicare Part D claims · 229 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
94.0743/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

HILARY BASHAM, D.O. reported a CMS MIPS final score of 94.0743/100 — above the 83.1 national average — and filed 358 Medicare Part D claims in 2023.

94.0743/100
MIPS score · +11 vs avg
358
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.

HILARY BASHAM, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

HILARY BASHAM, D.O. 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 HILARY BASHAM, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 06/21/2007

NPI 1235335886

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

358 2% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

94.0743/100 10.9743% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Emergency Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Emergency Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

HILARY BASHAM, D.O.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.0743/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 94.0743/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Emergency Medicine Physician) — 94.0743/100 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).

HILARY BASHAM, D.O. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding D.O. credentials at 1613 OAKWOOD ST, BEDFORD, VA, 24523, with a listed phone of (540) 586-2441. NPI 1235335886 was issued on 06/21/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BASHAM 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 358 prescription claims written by this provider, covering 229 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 21.2%. 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 94.0743/100 for the 2023 performance year (Quality 86.4483), compared with the national average of 83.1.

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

1613 OAKWOOD ST
BEDFORD, VA 24523

Provider Details

NPI 1235335886
Specialty Emergency Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 06/21/2007

CMS Quality Score (MIPS)

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

94.0743
Final Score
Avg: 83.1
86.4483
Quality
94
Promoting Interoperability

Reporting: Alternative Payment Model

Medicare Part D Prescribing Data

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

358
Total Claims
$6K
Total Drug Cost
229
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
360
Total Day Supply
3,122
Generic Drug Cost
$3K
Opioid Claims
76 (21.2% rate)
Antibiotic Claims
103

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.56
Gender Split
55% female / 45% male
Age Distribution
<65: 58, 65-74: 83, 75-84: 64, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What HILARY BASHAM, D.O. 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
47
Cephalexin
38
Ondansetron Odt
Ondansetron
33
Doxycycline Hyclate
28
Tramadol Hcl
22
Prednisone
14
Ciprofloxacin Hcl
13
Ibuprofen
12
Methylprednisolone
12
Cyclobenzaprine Hcl
11

* 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 HILARY BASHAM, D.O. 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

HILARY BASHAM, D.O.'s 358 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Virginia

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

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

Frequently Asked Questions

What is HILARY BASHAM, D.O.'s specialty?
HILARY BASHAM, D.O. specializes in Emergency Medicine Physician and practices in BEDFORD, Virginia. Credentials: D.O..
How much does HILARY BASHAM, D.O. prescribe under Medicare Part D?
In 2023, HILARY BASHAM, D.O. wrote 358 Medicare Part D claims totaling $6K in drug costs for 229 beneficiaries.
What is HILARY BASHAM, D.O.'s Medicare quality score?
HILARY BASHAM, D.O. has a CMS MIPS Final Score of 94.0743/100 (Quality: 86.4483). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HILARY BASHAM, D.O. located?
HILARY BASHAM, D.O. is located at 1613 OAKWOOD ST, BEDFORD, VA, 24523. Phone: (540) 586-2441.
What is HILARY BASHAM, D.O.'s NPI number?
HILARY BASHAM, D.O.'s National Provider Identifier (NPI) is 1235335886, issued on 06/21/2007.
Does HILARY BASHAM, D.O. prescribe opioids?
Yes, HILARY BASHAM, D.O. had 76 opioid claims in 2023 with an opioid prescribing rate of 21.2%.
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 HILARY BASHAM, D.O. prescribe most often?
Based on 2023 Medicare Part D data, HILARY BASHAM, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HILARY BASHAM, D.O. accept Medicare?
HILARY BASHAM, D.O. appears in CMS Medicare data with 358 Part D claims and 229 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HILARY BASHAM, D.O.'s credentials?
HILARY BASHAM, D.O.'s NPI is 1235335886 with credentials D.O.. 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