2026 NPPES data Obstetrics & Gynecology Physician NPI 1265512875 MD
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JAMES BAUERBAND, MD

Obstetrics & Gynecology Physician in LAVONIA, Georgia. 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
291
Medicare Part D claims · 68 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.8158/100
▼ 10 pts below national avg 83.1 · [object Object]

What the federal data shows

JAMES BAUERBAND, MD reported a CMS MIPS final score of 72.8158/100 — below the 83.1 national average — and filed 291 Medicare Part D claims in 2023.

72.8158/100
MIPS score · -10 vs avg
291
Part D claims, 2023
82%
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 BAUERBAND, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

73 10th percentile higher than 10% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JAMES BAUERBAND, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 BAUERBAND, MD?

Below national average

NPI registry status

Active

Issued 10/17/2006

NPI 1265512875

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

291 63% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

72.8158/100 10.284199999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Obstetrics & Gynecology Physician compares to other specialties among Georgia providers

Georgia providers

Obstetrics & Gynecology Physician share within Georgia

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Georgia

Medicare quality performance — MIPS

JAMES BAUERBAND, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Below national average
MIPS Final Score
72.8158/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 72.8158/100 vs national avg 83.1

0%100%National avg83%72.8%
MIPS final score (Obstetrics & Gynecology Physician) — 72.8158/100 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 BAUERBAND, MD is a Obstetrics & Gynecology Physician provider practicing in LAVONIA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265512875. 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 BAUERBAND, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 355 CLEAR CREEK PKWY STE 1003, LAVONIA, GA, 30553, with a listed phone of (706) 356-0780. NPI 1265512875 was issued on 10/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUERBAND 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 291 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $35K in drug spend, split 18% brand-name and 82% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.8158/100 for the 2023 performance year (Quality 65.2067, Cost 62.5126), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

355 CLEAR CREEK PKWY STE 1003
LAVONIA, GA 30553

Provider Details

NPI 1265512875
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 10/17/2006

CMS Quality Score (MIPS)

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

72.8158
Final Score
Avg: 83.1
65.2067
Quality
62.5126
Cost
78
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

JAMES BAUERBAND, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 291 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.

291
Total Claims
$35K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
570
Total Day Supply
16,025
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$28K
Generic Drug Cost
$7K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
65.2 years
Avg HCC Risk Score
1.09
Gender Split
100% female / 0% male
Age Distribution
<65: 24, 65-74: 27, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
91
Medroxyprogesterone Acetate
19
Estradiol-Norethindrone Acetat
Estradiol/Norethindrone Acet
11
Sprintec
Norgestimate-Ethinyl Estradiol
11
Progesterone
"Progesterone
N/A

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

Obstetrics & Gynecology Physician Overview

How JAMES BAUERBAND, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

JAMES BAUERBAND, MD's 291 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Georgia

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BAUERBAND, MD's specialty?
JAMES BAUERBAND, MD specializes in Obstetrics & Gynecology Physician and practices in LAVONIA, Georgia. Credentials: MD.
How much does JAMES BAUERBAND, MD prescribe under Medicare Part D?
In 2023, JAMES BAUERBAND, MD wrote 291 Medicare Part D claims totaling $35K in drug costs for 68 beneficiaries.
What is JAMES BAUERBAND, MD's Medicare quality score?
JAMES BAUERBAND, MD has a CMS MIPS Final Score of 72.8158/100 (Quality: 65.2067, Cost: 62.5126). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES BAUERBAND, MD located?
JAMES BAUERBAND, MD is located at 355 CLEAR CREEK PKWY STE 1003, LAVONIA, GA, 30553. Phone: (706) 356-0780.
What is JAMES BAUERBAND, MD's NPI number?
JAMES BAUERBAND, MD's National Provider Identifier (NPI) is 1265512875, issued on 10/17/2006.
Does JAMES BAUERBAND, MD prescribe more brand-name or generic drugs?
JAMES BAUERBAND, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $28K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does JAMES BAUERBAND, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES BAUERBAND, MD's most frequently prescribed drugs include Estradiol, Medroxyprogesterone Acetate, Estradiol-Norethindrone Acetat. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BAUERBAND, MD accept Medicare?
JAMES BAUERBAND, MD appears in CMS Medicare data with 291 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BAUERBAND, MD's credentials?
JAMES BAUERBAND, MD's NPI is 1265512875 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