2026 NPPES data Ophthalmology Physician NPI 1457708430 M.D.
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JAMES BAILEY, M.D.

Ophthalmology Physician in JOINT BASE LEWIS MCCHORD, Washington. 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
61
Medicare Part D claims · 34 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$119.1
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES BAILEY, M.D. is a Ophthalmology Physician ([object Object]) practicing in JOINT BASE LEWIS MCCHORD, Washington with a Medicare Part D prescribing footprint of 61 claims across 34 beneficiaries — 52% brand-name prescribing . Industry payments of $119.1 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES BAILEY, M.D. filed 61 Medicare Part D claims in 2023 across JOINT BASE LEWIS MCCHORD, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JAMES BAILEY, M.D. 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).

JAMES BAILEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/19/2016

NPI 1457708430

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

61 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Washington

How Ophthalmology Physician compares to other specialties among Washington providers

Washington providers

Ophthalmology Physician share within Washington

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

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

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology 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, M.D. is a Ophthalmology Physician provider practicing in JOINT BASE LEWIS MCCHORD, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1457708430. 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, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 9040 A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA, 98431, with a listed phone of (253) 241-6725. NPI 1457708430 was issued on 05/19/2016. 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 61 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $5K in drug spend, split 52% brand-name and 48% generic by claim count. 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

9040 A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431

Provider Details

NPI 1457708430
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 05/19/2016

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, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$119

Largest payer

Neuronetics, 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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to JAMES BAILEY, M.D.. To verify JAMES BAILEY, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JAMES BAILEY, M.D. — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 61 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.

61
Total Claims
$5K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
98
Total Day Supply
2,621
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$4K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
78.2 years
Avg HCC Risk Score
1.36
Gender Split
44% female / 56% 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
Prednisolone Acetate
16

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

Ophthalmology Physician Overview

How JAMES BAILEY, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JAMES BAILEY, M.D.'s 61 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Washington

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

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

Frequently Asked Questions

What is JAMES BAILEY, M.D.'s specialty?
JAMES BAILEY, M.D. specializes in Ophthalmology Physician and practices in JOINT BASE LEWIS MCCHORD, Washington. Credentials: M.D..
How much does JAMES BAILEY, M.D. prescribe under Medicare Part D?
In 2023, JAMES BAILEY, M.D. wrote 61 Medicare Part D claims totaling $5K in drug costs for 34 beneficiaries.
Where is JAMES BAILEY, M.D. located?
JAMES BAILEY, M.D. is located at 9040 A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA, 98431. Phone: (253) 241-6725.
What is JAMES BAILEY, M.D.'s NPI number?
JAMES BAILEY, M.D.'s National Provider Identifier (NPI) is 1457708430, issued on 05/19/2016.
Does JAMES BAILEY, M.D. prescribe more brand-name or generic drugs?
JAMES BAILEY, M.D.'s prescribing is 52% brand-name and 48% generic drugs by claim count, with $4K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JAMES BAILEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES BAILEY, M.D.'s most frequently prescribed drugs include Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BAILEY, M.D. accept Medicare?
JAMES BAILEY, M.D. appears in CMS Medicare data with 61 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BAILEY, M.D.'s credentials?
JAMES BAILEY, M.D.'s NPI is 1457708430 with credentials M.D.. 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