2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1295197556 M.D.
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LAUREN BAILEY, M.D.

Student in an Organized Health Care Education/Training Program in ALBUQUERQUE, New Mexico. 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
384
Medicare Part D claims · 242 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Industry payments
$90.78
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LAUREN BAILEY, M.D. is a Student in an Organized Health Care Education/Training Program ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 384 claims across 242 beneficiaries . Industry payments of $90.78 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LAUREN BAILEY, M.D. filed 384 Medicare Part D claims in 2023 across ALBUQUERQUE, New Mexico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

LAUREN BAILEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 03/25/2016

NPI 1295197556

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

384 16% vs specialty avg

2023 prescription claims

Specialty avg: 459

Specialty distribution in New Mexico

How Student in an Organized Health Care Education/Training Program compares to other specialties among New Mexico providers

New Mexico providers

Student in an Organized Health Care Education/Training Program share within New Mexico

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within New Mexico

Specialty board-certification context

Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Student in an Organized Health Care Education/Training Program ABMS/AOA estimate

Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — 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).

LAUREN BAILEY, M.D. is a Student in an Organized Health Care Education/Training Program provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295197556. 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.

LAUREN BAILEY, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at 1 UNIVERSITY OF NEW MEXICO MSC11 6025, ALBUQUERQUE, NM, 87131, with a listed phone of (505) 272-5062. NPI 1295197556 was issued on 03/25/2016. 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 384 prescription claims written by this provider, covering 242 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 23.2%. 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.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

1 UNIVERSITY OF NEW MEXICO MSC11 6025
ALBUQUERQUE, NM 87131

Provider Details

NPI 1295197556
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Female
NPI Issued 03/25/2016

Hospital and facility affiliations

Facilities where LAUREN BAILEY, M.D. 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.

SOUTHEASTERN EMERGENCY PHYSICIANS LLC
SPRINGDALE, AR

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

Total received

$91

Largest payer

IRONSHORE PHARMACEUTICALS 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.

Medicare Part D Prescribing Data

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

384
Total Claims
$9K
Total Drug Cost
242
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
400
Total Day Supply
3,644
Generic Drug Cost
$3K
Opioid Claims
89 (23.2% rate)
Antibiotic Claims
110

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.53
Gender Split
60% female / 40% male
Age Distribution
<65: 30, 65-74: 113, 75-84: 70, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
51
Ondansetron Odt
Ondansetron
47
Doxycycline Hyclate
36
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
34
Cefdinir
27
Prednisone
25
Ciprofloxacin Hcl
17
Metronidazole
13

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

Student in an Organized Health Care Education/Training Program Overview

How LAUREN BAILEY, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

LAUREN BAILEY, M.D.'s 384 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in New Mexico

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREN BAILEY, M.D.'s specialty?
LAUREN BAILEY, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in ALBUQUERQUE, New Mexico. Credentials: M.D..
How much does LAUREN BAILEY, M.D. prescribe under Medicare Part D?
In 2023, LAUREN BAILEY, M.D. wrote 384 Medicare Part D claims totaling $9K in drug costs for 242 beneficiaries.
Where is LAUREN BAILEY, M.D. located?
LAUREN BAILEY, M.D. is located at 1 UNIVERSITY OF NEW MEXICO MSC11 6025, ALBUQUERQUE, NM, 87131. Phone: (505) 272-5062.
What is LAUREN BAILEY, M.D.'s NPI number?
LAUREN BAILEY, M.D.'s National Provider Identifier (NPI) is 1295197556, issued on 03/25/2016.
Does LAUREN BAILEY, M.D. prescribe opioids?
Yes, LAUREN BAILEY, M.D. had 89 opioid claims in 2023 with an opioid prescribing rate of 23.2%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does LAUREN BAILEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LAUREN BAILEY, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Ondansetron Odt, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN BAILEY, M.D. accept Medicare?
LAUREN BAILEY, M.D. appears in CMS Medicare data with 384 Part D claims and 242 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN BAILEY, M.D.'s credentials?
LAUREN BAILEY, M.D.'s NPI is 1295197556 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