2026 NPPES data Interventional Pain Medicine Physician NPI 1578264149
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JAMES BAILEY

Interventional Pain Medicine Physician in CLERMONT, Florida. 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
723
Medicare Part D claims · 251 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$248.52
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES BAILEY filed 723 Medicare Part D claims in 2023 as a Interventional Pain Medicine Physician in CLERMONT, Florida, prescribing 97% generic.

723
Part D claims, 2023
97%
generic prescribing
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.

JAMES BAILEY's Medicare Part D volume vs every U.S. prescriber

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

723 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

JAMES BAILEY practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 4 hospital affiliations — 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 JAMES BAILEY?

Quality data not reported

NPI registry status

Active

Issued 03/13/2023

NPI 1578264149

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

723 67% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

Specialty distribution in Florida

How Interventional Pain Medicine Physician compares to other specialties among Florida providers

Florida providers

Interventional Pain Medicine Physician share within Florida

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Interventional Pain Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Interventional Pain Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Interventional Pain Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Interventional Pain Medicine Physician) — 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).

JAMES BAILEY appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider at 1804 OAKLEY SEAVER DR STE F, CLERMONT, FL, 34711, with a listed phone of (407) 499-0755. NPI 1578264149 was issued on 03/13/2023. 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 723 prescription claims written by this provider, covering 251 Medicare beneficiaries and totaling roughly $40K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 9.0%. 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.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

1804 OAKLEY SEAVER DR STE F
CLERMONT, FL 34711

Provider Details

NPI 1578264149
Specialty Interventional Pain Medicine Physician
Gender Male
NPI Issued 03/13/2023

Hospital and facility affiliations

Facilities where JAMES BAILEY 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.

ABILITY HEALTH SERVICES AND REHABILITATION LP
SANFORD, FL
ABILITY HEALTH SERVICES, INC
SANFORD, FL
ALLINA HEALTH SYSTEM
MINNEAPOLIS, MN
FLORIDA SPINE AND PAIN INSTITUTE
CLERMONT, FL

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. Source: openpaymentsdata.cms.gov.

Total received

$249

Largest payer

Curonix LLC

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to JAMES BAILEY. To verify JAMES BAILEY's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JAMES BAILEY — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 723 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.

723
Total Claims
$40K
Total Drug Cost
251
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
807
Total Day Supply
21,393
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$28K
Generic Drug Cost
$13K
Opioid Claims
65 (9.0% rate)

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.98
Gender Split
62% female / 38% male
Age Distribution
<65: 66, 65-74: 106, 75-84: 63, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What JAMES BAILEY 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
Gabapentin
187
Tizanidine Hcl
70
Methocarbamol
63
Cyclobenzaprine Hcl
44
Diclofenac Sodium
42
Meloxicam
32
Baclofen
31
Ibuprofen
25
Duloxetine Hcl
23
Methylprednisolone
21

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

Interventional Pain Medicine Physician Overview

How JAMES BAILEY fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

JAMES BAILEY's 723 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Florida

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

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BAILEY's specialty?
JAMES BAILEY specializes in Interventional Pain Medicine Physician and practices in CLERMONT, Florida.
How much does JAMES BAILEY prescribe under Medicare Part D?
In 2023, JAMES BAILEY wrote 723 Medicare Part D claims totaling $40K in drug costs for 251 beneficiaries.
Where is JAMES BAILEY located?
JAMES BAILEY is located at 1804 OAKLEY SEAVER DR STE F, CLERMONT, FL, 34711. Phone: (407) 499-0755.
What is JAMES BAILEY's NPI number?
JAMES BAILEY's National Provider Identifier (NPI) is 1578264149, issued on 03/13/2023.
Does JAMES BAILEY prescribe more brand-name or generic drugs?
JAMES BAILEY's prescribing is 3% brand-name and 97% generic drugs by claim count, with $28K in brand drug costs.
Does JAMES BAILEY prescribe opioids?
Yes, JAMES BAILEY had 65 opioid claims in 2023 with an opioid prescribing rate of 9.0%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does JAMES BAILEY prescribe most often?
Based on 2023 Medicare Part D data, JAMES BAILEY's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BAILEY accept Medicare?
JAMES BAILEY appears in CMS Medicare data with 723 Part D claims and 251 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BAILEY's credentials?
JAMES BAILEY's NPI is 1578264149. 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