2026 NPPES data Family Medicine Physician NPI 1114423035 DO
Verify on CMS →

LEO BAILEY, DO

Family Medicine Physician in NEWPORT NEWS, Virginia. 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
2K
Medicare Part D claims · 214 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$249.65
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LEO BAILEY, DO reported a CMS MIPS final score of 94.0775/100 — above the 83.1 national average — and filed 2,056 Medicare Part D claims in 2023.

94.0775/100
MIPS score · +11 vs avg
2K
Part D claims, 2023
87%
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.

LEO BAILEY, DO's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

LEO BAILEY, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 LEO BAILEY, DO?

High performer (top quartile)

NPI registry status

Active

Issued 03/30/2018

NPI 1114423035

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,056 40% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

LEO BAILEY, DO's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Family Medicine Physician) — 94.0775/100 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).

LEO BAILEY, DO is a Family Medicine Physician provider practicing in NEWPORT NEWS, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1114423035. 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.

LEO BAILEY, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 12715 WARWICK BLVD # MO, NEWPORT NEWS, VA, 23606, with a listed phone of (757) 930-0091. NPI 1114423035 was issued on 03/30/2018. 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 2,056 prescription claims written by this provider, covering 214 Medicare beneficiaries and totaling roughly $223K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.0%. 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 94.0775/100 for the 2023 performance year (Quality 90.6515), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

12715 WARWICK BLVD # MO
NEWPORT NEWS, VA 23606

Provider Details

NPI 1114423035
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 03/30/2018

CMS Quality Score (MIPS)

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

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LEO BAILEY, DO 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.

RIVERSIDE PHYSICIAN SERVICES INC
HAMPTON, VA

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 LEO BAILEY, DO. Source: openpaymentsdata.cms.gov.

Total received

$250

Largest payer

Amgen 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.

Brand vs generic prescribing mix · Typical

LEO BAILEY, DO — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 2,056 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.

2,056
Total Claims
$223K
Total Drug Cost
214
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,000
Total Day Supply
115,124
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$192K
Generic Drug Cost
$30K
Opioid Claims
21 (1.0% rate)
Antibiotic Claims
39

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.70
Gender Split
47% female / 53% male
Age Distribution
<65: 50, 65-74: 104, 75-84: 48, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
135
Atorvastatin Calcium
133
Hydrochlorothiazide
66
Losartan Potassium
64
Gabapentin
59
Pantoprazole Sodium
56
Albuterol Sulfate Hfa
Albuterol Sulfate
52
Lisinopril
45
Pravastatin Sodium
40
Fluticasone Propionate
35

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

Family Medicine Physician Overview

How LEO BAILEY, DO fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

LEO BAILEY, DO's 2,056 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LEO BAILEY, DO's specialty?
LEO BAILEY, DO specializes in Family Medicine Physician and practices in NEWPORT NEWS, Virginia. Credentials: DO.
How much does LEO BAILEY, DO prescribe under Medicare Part D?
In 2023, LEO BAILEY, DO wrote 2,056 Medicare Part D claims totaling $223K in drug costs for 214 beneficiaries.
What is LEO BAILEY, DO's Medicare quality score?
LEO BAILEY, DO has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LEO BAILEY, DO located?
LEO BAILEY, DO is located at 12715 WARWICK BLVD # MO, NEWPORT NEWS, VA, 23606. Phone: (757) 930-0091.
What is LEO BAILEY, DO's NPI number?
LEO BAILEY, DO's National Provider Identifier (NPI) is 1114423035, issued on 03/30/2018.
Does LEO BAILEY, DO prescribe more brand-name or generic drugs?
LEO BAILEY, DO's prescribing is 13% brand-name and 87% generic drugs by claim count, with $192K in brand drug costs.
Does LEO BAILEY, DO prescribe opioids?
Yes, LEO BAILEY, DO had 21 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does LEO BAILEY, DO prescribe most often?
Based on 2023 Medicare Part D data, LEO BAILEY, DO's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Hydrochlorothiazide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEO BAILEY, DO accept Medicare?
LEO BAILEY, DO appears in CMS Medicare data with 2,056 Part D claims and 214 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEO BAILEY, DO's credentials?
LEO BAILEY, DO's NPI is 1114423035 with credentials DO. 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