2026 NPPES data Physician Assistant NPI 1215927249 PAC
Verify on CMS →

JAMES BAILEY, PAC

Physician Assistant in ALCOA, Tennessee. 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
571
Medicare Part D claims · 192 beneficiaries · Physician Assistant avg: 790
MIPS score
79.2957/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$15.86
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES BAILEY, PAC is a Physician Assistant ([object Object]) practicing in ALCOA, Tennessee with a Medicare Part D prescribing footprint of 571 claims across 192 beneficiaries . Their CMS MIPS Final Score of 79.2957/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $15.86 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES BAILEY, PAC reported a CMS MIPS final score of 79.2957 out of 100, below the 83.1 national average, and filed 571 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JAMES BAILEY, PAC at a glance

Near national average

NPI registry status

Active

Issued 10/21/2005

NPI 1215927249

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

571 28% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

79.2957/100 3.804299999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Physician Assistant compares to other specialties among Tennessee providers

Tennessee providers

Physician Assistant share within Tennessee

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Tennessee

Medicare quality performance — MIPS

JAMES BAILEY, PAC's 2023 MIPS final score plotted against the Physician Assistant national average

Near national average
MIPS Final Score
79.2957/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 79.2957/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Physician Assistant) — 79.2957/100 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, PAC is a Physician Assistant provider practicing in ALCOA, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PAC. NPI: 1215927249. 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, PAC appears in the CMS NPPES registry as a Physician Assistant provider holding PAC credentials at 266 JOULE ST, ALCOA, TN, 37701, with a listed phone of (865) 984-3864. NPI 1215927249 was issued on 10/21/2005. 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 571 prescription claims written by this provider, covering 192 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 18.7%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.2957/100 for the 2023 performance year (Quality 74.5598, Cost 63.0925), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

266 JOULE ST
ALCOA, TN 37701

Provider Details

NPI 1215927249
Specialty Physician Assistant
Credentials PAC
Gender Male
NPI Issued 10/21/2005

CMS Quality Score (MIPS)

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

79.2957
Final Score
Avg: 83.1
74.5598
Quality
63.0925
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES BAILEY, PAC 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.

BLOUNT MEMORIAL PHYSICIAN GROUP INC
ALCOA, TN

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, PAC. Source: openpaymentsdata.cms.gov.

Total received

$16

Largest payer

Smoky Mountain Surgical 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.

Medicare Part D Prescribing Data

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

571
Total Claims
$8K
Total Drug Cost
192
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
587
Total Day Supply
10,499
Generic Drug Cost
$7K
Opioid Claims
107 (18.7% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.20
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methocarbamol
176
Oxycodone Hcl
77
Gabapentin
76
Tizanidine Hcl
53
Cyclobenzaprine Hcl
33
Pregabalin
22
Methylprednisolone
20
Tramadol Hcl
17
Prednisone
13
Diazepam
12

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

Physician Assistant Overview

How JAMES BAILEY, PAC fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

JAMES BAILEY, PAC's 571 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Tennessee

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BAILEY, PAC's specialty?
JAMES BAILEY, PAC specializes in Physician Assistant and practices in ALCOA, Tennessee. Credentials: PAC.
How much does JAMES BAILEY, PAC prescribe under Medicare Part D?
In 2023, JAMES BAILEY, PAC wrote 571 Medicare Part D claims totaling $8K in drug costs for 192 beneficiaries.
What is JAMES BAILEY, PAC's Medicare quality score?
JAMES BAILEY, PAC has a CMS MIPS Final Score of 79.2957/100 (Quality: 74.5598, Cost: 63.0925). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES BAILEY, PAC located?
JAMES BAILEY, PAC is located at 266 JOULE ST, ALCOA, TN, 37701. Phone: (865) 984-3864.
What is JAMES BAILEY, PAC's NPI number?
JAMES BAILEY, PAC's National Provider Identifier (NPI) is 1215927249, issued on 10/21/2005.
Does JAMES BAILEY, PAC prescribe opioids?
Yes, JAMES BAILEY, PAC had 107 opioid claims in 2023 with an opioid prescribing rate of 18.7%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does JAMES BAILEY, PAC prescribe most often?
Based on 2023 Medicare Part D data, JAMES BAILEY, PAC's most frequently prescribed drugs include Methocarbamol, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BAILEY, PAC accept Medicare?
JAMES BAILEY, PAC appears in CMS Medicare data with 571 Part D claims and 192 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BAILEY, PAC's credentials?
JAMES BAILEY, PAC's NPI is 1215927249 with credentials PAC. 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