NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1629048707 MD
Verify on CMS → John Bailey, MD
Orthopaedic Surgery Physician in Williamsport, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,781 in Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
382
Medicare Part D claims · 280 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
81.5/100
▼ 2 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Bailey, MD reported a CMS MIPS final score of 81.5/100 - below the 83.1 national average - and filed 382 Medicare Part D claims in 2023.
- 81.5/100
- MIPS score · -2 vs avg
- 382
- Part D claims, 2023
- 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.
John Bailey, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 36th percentile higher than 36% 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
Where John Bailey, MD sits
This provider among orthopaedic surgery physician peers
Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Bailey, MD writes more Part D claims than 63% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is John Bailey, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Bailey, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 John Bailey, MD?
Near national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
382 18% vs specialty avg
MIPS final score
81.5/100 1.6 pts vs avg
Specialty distribution in Pennsylvania
How Orthopaedic Surgery Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
John Bailey, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 81.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery Physician) - 81.5/100 vs national avg 83.1
How MIPS and board certification work
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).
John Bailey, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 1705 WARREN AVE, Williamsport, PA, 17701, with a listed phone of (570) 321-2020. NPI 1629048707 was issued on 01/23/2006.
Medicare Part D records for calendar year 2023 show 382 prescription claims written by this provider, covering 280 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 2.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.5/100 for the 2023 performance year (Quality 75, Cost 63.4), compared with the national average of 83.1.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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 | 1629048707 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/23/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.5417
Final Score
Avg: 83.1
75.0434
Quality
63.4288
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Bailey, MD 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.
Phoenix Rehabilitation And Health Services Inc
Cranberry Township, PA
Susquehanna Physician Services
Williamsport, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to John Bailey, MD. To verify John Bailey, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
382
Total Claims
$6K
Total Drug Cost
280
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 407
- Total Day Supply
- 6,038
- Generic Drug Cost
- $4K
- Opioid Claims
- 11 (2.9% rate)
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 0.96
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 17, 65-74: 150, 75-84: 101, 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 John Bailey, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Mupirocin
Mupirocin
264 claims
- Meloxicam 51
Meloxicam
51 claims
- Celecoxib 26
Celecoxib
26 claims
| Drug | Claims |
|---|---|
| Mupirocin | 264 |
| Meloxicam | 51 |
| Celecoxib | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How John Bailey, MD fits within the Orthopaedic Surgery Physician landscape nationally.
25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
John Bailey, MD's 382 claims are above the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Bailey.
Dr. Jack Abboudi
M.D.
Bryn Mawr, PA
Dr. Melissa Adams
LPN
Lebanon, PA
Dr. Carl Adolph
MD
Lancaster, PA
Dr. Steven Agabegi
MD
Somerset, PA
Dr. Sam Akhavan
MD
Pittsburgh, PA
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is John Bailey, MD's specialty? ▼
John Bailey, MD specializes in Orthopaedic Surgery Physician and practices in Williamsport, Pennsylvania. Credentials: MD.
How much does John Bailey, MD prescribe under Medicare Part D? ▼
In 2023, John Bailey, MD wrote 382 Medicare Part D claims totaling $6K in drug costs for 280 beneficiaries.
What is John Bailey, MD's Medicare quality score? ▼
John Bailey, MD has a CMS MIPS Final Score of 81.5/100 (Quality: 75, Cost: 63.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Bailey, MD located? ▼
John Bailey, MD is located at 1705 WARREN AVE, Williamsport, PA, 17701. Phone: (570) 321-2020.
What is John Bailey, MD's NPI number? ▼
John Bailey, MD's National Provider Identifier (NPI) is 1629048707, issued on 01/23/2006.
Does John Bailey, MD prescribe opioids? ▼
Yes, John Bailey, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does John Bailey, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, John Bailey, MD's most frequently prescribed drugs include Mupirocin, Meloxicam, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Bailey, MD accept Medicare? ▼
John Bailey, MD appears in CMS Medicare data with 382 Part D claims and 280 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Bailey, MD's credentials? ▼
John Bailey, MD's NPI is 1629048707 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.