JOE BAUGHAM, PA-C
Physician Assistant in THOMASVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JOE BAUGHAM, PA-C reported a CMS MIPS final score of 69.883/100 — below the 83.1 national average — and filed 419 Medicare Part D claims in 2023.
- 69.883/100
- MIPS score · -13 vs avg
- 419
- Part D claims, 2023
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.
JOE BAUGHAM, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
70 8th percentile higher than 8% of 477,587 scored providers
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
What does the federal data show about JOE BAUGHAM, PA-C?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Georgia
How Physician Assistant compares to other specialties among Georgia providers
Physician Assistant share within Georgia
Physician Assistant is one of the more visible NUCC categories in Georgia
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
JOE BAUGHAM, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 69.883/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) — 69.883/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Physician Assistant US NPIs
69.883/100 MIPS final score — 13.2 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Physician Assistant. Quality dim: 57.9476. Cost dim: 43.3291.
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).
JOE BAUGHAM, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 113 W HANSELL ST, THOMASVILLE, GA, 31792, with a listed phone of (229) 226-3060. NPI 1730620410 was issued on 03/15/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUGHAM 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 419 prescription claims written by this provider, covering 228 Medicare beneficiaries and totaling roughly $7K in drug spend. 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 69.883/100 for the 2023 performance year (Quality 57.9476, Cost 43.3291), 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
Provider Details
| NPI | 1730620410 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 03/15/2017 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JOE BAUGHAM, PA-C's current license status, disciplinary history, and board certifications with the Georgia Composite Medical Board in Georgia before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where JOE BAUGHAM, PA-C 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 428
- Total Day Supply
- 6,204
- Generic Drug Cost
- $5K
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 29, 65-74: 97, 75-84: 90, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What JOE BAUGHAM, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
102 claims
- Gabapentin
Gabapentin
93 claims
- Ondansetron Hcl
Ondansetron Hcl
88 claims
- Clindamycin Hcl 39
Clindamycin Hcl
39 claims
- Diclofenac Sodium 21
Diclofenac Sodium
21 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 102 |
| Gabapentin | 93 |
| Ondansetron Hcl | 88 |
| Clindamycin Hcl | 39 |
| Diclofenac Sodium | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How JOE BAUGHAM, PA-C fits within the Physician Assistant landscape nationally.
JOE BAUGHAM, PA-C's 419 claims are below the specialty average of 790.
Nearby Physician Assistant Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BAUGHAM.
Compare Physician Assistant nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Georgia
Frequently Asked Questions
What is JOE BAUGHAM, PA-C's specialty? ▼
How much does JOE BAUGHAM, PA-C prescribe under Medicare Part D? ▼
What is JOE BAUGHAM, PA-C's Medicare quality score? ▼
Where is JOE BAUGHAM, PA-C located? ▼
What is JOE BAUGHAM, PA-C's NPI number? ▼
How many Physician Assistant providers are there in the US? ▼
What drugs does JOE BAUGHAM, PA-C prescribe most often? ▼
Does JOE BAUGHAM, PA-C accept Medicare? ▼
How can I verify JOE BAUGHAM, PA-C's credentials? ▼
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