NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1891759031 MD
Verify on CMS → James Bailes, MD
Pediatrics Physician in Huntington, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 81,773 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
113
Medicare Part D claims · Pediatrics Physician avg: 818
Generic prescribing
58%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$332.96
20 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Bailes, MD filed 113 Medicare Part D claims in 2024 as a Pediatrics Physician in Huntington, West Virginia, prescribing 58% generic.
- 113
- Part D claims, 2024
- 58%
- generic prescribing
- $332.96
- industry payments (Sunshine Act)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about James Bailes, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1891759031), first enumerated 04/14/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 113 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Reported
Industry payment transparency
$332.96 in reported industry payments (20 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1891759031 · Pediatrics Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1891759031
- ENUM-LEGACY 2006
- TAX-MEGA 82K Pediatrics Physician
- RX-LIGHT 113
- BOOK-THIN 309 in West Virginia
- PHOTO-ENUM Timothy Fricker, M.D. · 2006
James Bailes, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
113 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
James Bailes, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Bailes, MD?
Quality data not reportedPrimary specialty
Pediatrics Physician
Medicare Part D claims
113 86% vs specialty avg
Specialty distribution in West Virginia
How Pediatrics Physician compares to other specialties among West Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1891759031 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/14/2006 |
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 James Bailes, MD. Source: openpaymentsdata.cms.gov.
Total received
$333
Largest payer
Insulet Corporation
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 · Above average
James Bailes, MD - brand share 32.0%
Pediatrics Physician average
32% brand-name claims vs 58% generic, on 113 2024 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 2024.
113
Total Claims
$30K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 175.933
- Total Day Supply
- 4,831
- Brand vs Generic
- 32% brand / 58% generic
- Brand Drug Cost
- $21K
- Generic Drug Cost
- $896
Patient Demographics
- Average Patient Age
- 45.3 years
- Avg HCC Risk Score
- 0.86
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Bailes, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Omeprazole
Omeprazole
14 claims
- Montelukast Sodium
Montelukast Sodium
12 claims
- Humalog
Humalog
11 claims
| Drug | Claims |
|---|---|
| Omeprazole | 14 |
| Montelukast Sodium | 12 |
| Humalog Insulin Lispro | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How James Bailes, MD fits within the Pediatrics Physician landscape nationally.
81,773
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
818
Avg Claims per Provider
James Bailes, MD's 113 claims are below the specialty average of 818.
Nationwide Pediatrics Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bailes, both outside West Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatrics Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Bailes.
One of 309 Pediatrics Physician providers enrolled in West Virginia, 5 are shown here.
Dr. Elizabeth Accord
D.O.
Fairmont, WV
Dr. Traci Acklin
M.D.
Montgomery, WV
Dr. Kanya Ahuja
MD
Charleston, WV
Dr. Melissa Albert
M.D.
Morgantown, WV
Mahmoud Ali
Morgantown, WV
Compare Pediatrics Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Bailes, MD's specialty? ▼
James Bailes, MD specializes in Pediatrics Physician and practices in Huntington, West Virginia. Credentials: MD.
How much does James Bailes, MD prescribe under Medicare Part D? ▼
In 2024, James Bailes, MD wrote 113 Medicare Part D claims totaling $30K in drug costs for N/A beneficiaries.
Where is James Bailes, MD located? ▼
James Bailes, MD is located at 1115 20TH ST STE 105, Huntington, WV, 25703. Phone: (304) 399-4141.
What is James Bailes, MD's NPI number? ▼
James Bailes, MD's National Provider Identifier (NPI) is 1891759031, issued on 04/14/2006.
Does James Bailes, MD prescribe more brand-name or generic drugs? ▼
James Bailes, MD's prescribing is 32% brand-name and 58% generic drugs by claim count, with $21K in brand drug costs.
How many Pediatrics Physician providers are there in the US? ▼
There are 81,773 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 818 Medicare Part D claims per year.
What drugs does James Bailes, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Bailes, MD's most frequently prescribed drugs include Omeprazole, Montelukast Sodium, Humalog. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Bailes, MD accept Medicare? ▼
James Bailes, MD appears in CMS Medicare data with 113 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Bailes, MD's credentials? ▼
James Bailes, MD's NPI is 1891759031 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.