2026 NPPES data Family Medicine Physician NPI 1912933995 MD
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JAMES BAILEY, MD

Family Medicine Physician in BRIDGEPORT, West 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
10K
Medicare Part D claims · 467 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$847.43
49 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES BAILEY, MD is a Family Medicine Physician ([object Object]) practicing in BRIDGEPORT, West Virginia with a Medicare Part D prescribing footprint of 10K claims across 467 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 94.1061/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $847.43 across 49 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES BAILEY, MD reported a CMS MIPS final score of 94.1061 out of 100, above the 83.1 national average, and filed 9,559 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)

JAMES BAILEY, MD 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).

JAMES BAILEY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/23/2006

NPI 1912933995

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

9,559 180% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Family Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Family Medicine Physician share within West Virginia

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

Medicare quality performance — MIPS

JAMES BAILEY, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Family Medicine Physician) — 94.1061/100 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).

JAMES BAILEY, MD is a Family Medicine Physician provider practicing in BRIDGEPORT, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1912933995. 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.

JAMES BAILEY, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 120 MEDICAL PARK DR STE 300, BRIDGEPORT, WV, 26330, with a listed phone of (681) 342-3300. NPI 1912933995 was issued on 06/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAILEY 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 9,559 prescription claims written by this provider, covering 467 Medicare beneficiaries and totaling roughly $872K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.0%. 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 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

120 MEDICAL PARK DR STE 300
BRIDGEPORT, WV 26330

Provider Details

NPI 1912933995
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/23/2006

CMS Quality Score (MIPS)

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

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAMES BAILEY, MD 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.

UNITED PHYSICIANS CARE INC
BRIDGEPORT, WV

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

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 BAILEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$847

Largest payer

ABBVIE INC.

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 · Generic-heavy

JAMES BAILEY, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 9,559 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.

9,559
Total Claims
$872K
Total Drug Cost
467
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,249
Total Day Supply
619,337
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$731K
Generic Drug Cost
$136K
Opioid Claims
288 (3.0% rate)
Antibiotic Claims
343

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.37
Gender Split
53% female / 47% male
Age Distribution
<65: 43, 65-74: 247, 75-84: 123, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
374
Levothyroxine Sodium
332
Alprazolam
326
Lisinopril
325
Omeprazole
282
Rosuvastatin Calcium
272
Lorazepam
254
Amlodipine Besylate
245
Gabapentin
244
Pantoprazole Sodium
238

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

Family Medicine Physician Overview

How JAMES BAILEY, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JAMES BAILEY, MD's 9,559 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in West Virginia

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

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

Frequently Asked Questions

What is JAMES BAILEY, MD's specialty?
JAMES BAILEY, MD specializes in Family Medicine Physician and practices in BRIDGEPORT, West Virginia. Credentials: MD.
How much does JAMES BAILEY, MD prescribe under Medicare Part D?
In 2023, JAMES BAILEY, MD wrote 9,559 Medicare Part D claims totaling $872K in drug costs for 467 beneficiaries.
What is JAMES BAILEY, MD's Medicare quality score?
JAMES BAILEY, MD has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES BAILEY, MD located?
JAMES BAILEY, MD is located at 120 MEDICAL PARK DR STE 300, BRIDGEPORT, WV, 26330. Phone: (681) 342-3300.
What is JAMES BAILEY, MD's NPI number?
JAMES BAILEY, MD's National Provider Identifier (NPI) is 1912933995, issued on 06/23/2006.
Does JAMES BAILEY, MD prescribe more brand-name or generic drugs?
JAMES BAILEY, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $731K in brand drug costs.
Does JAMES BAILEY, MD prescribe opioids?
Yes, JAMES BAILEY, MD had 288 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JAMES BAILEY, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES BAILEY, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BAILEY, MD accept Medicare?
JAMES BAILEY, MD appears in CMS Medicare data with 9,559 Part D claims and 467 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BAILEY, MD's credentials?
JAMES BAILEY, MD's NPI is 1912933995 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

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