2026 NPPES data Otolaryngology Physician NPI 1538788302 MD
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LUKE BAILEY, MD

Otolaryngology Physician in OPELIKA, Alabama. 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
158
Medicare Part D claims · 98 beneficiaries · Otolaryngology Physician avg: 509
Industry payments
$217.96
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LUKE BAILEY, MD is a Otolaryngology Physician ([object Object]) practicing in OPELIKA, Alabama with a Medicare Part D prescribing footprint of 158 claims across 98 beneficiaries . Industry payments of $217.96 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

LUKE BAILEY, MD filed 158 Medicare Part D claims in 2023 as a Otolaryngology Physician in OPELIKA, Alabama.

158
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.

Board certification likely (heuristic — not verified)

LUKE BAILEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LUKE BAILEY, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/13/2020

NPI 1538788302

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

158 69% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Alabama

How Otolaryngology Physician compares to other specialties among Alabama providers

Alabama providers

Otolaryngology Physician share within Alabama

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

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology Physician) — 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).

LUKE BAILEY, MD is a Otolaryngology Physician provider practicing in OPELIKA, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1538788302. 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.

LUKE BAILEY, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1965 1ST AVE, OPELIKA, AL, 36801, with a listed phone of (334) 705-0012. NPI 1538788302 was issued on 04/13/2020. 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 158 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 41.8%. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1965 1ST AVE
OPELIKA, AL 36801

Provider Details

NPI 1538788302
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 04/13/2020

Hospital and facility affiliations

Facilities where LUKE 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.

EAST ALABAMA EAR, NOSE, AND THROAT, PC
OPELIKA, AL

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 LUKE BAILEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$218

Largest payer

AngioDynamics, 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.

158
Total Claims
$3K
Total Drug Cost
98
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
177
Total Day Supply
2,284
Generic Drug Cost
$3K
Opioid Claims
66 (41.8% rate)
Antibiotic Claims
25

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.62
Gender Split
55% female / 45% male

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
62
Ondansetron Odt
Ondansetron
20

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

Otolaryngology Physician Overview

How LUKE BAILEY, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

LUKE BAILEY, MD's 158 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Alabama

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUKE BAILEY, MD's specialty?
LUKE BAILEY, MD specializes in Otolaryngology Physician and practices in OPELIKA, Alabama. Credentials: MD.
How much does LUKE BAILEY, MD prescribe under Medicare Part D?
In 2023, LUKE BAILEY, MD wrote 158 Medicare Part D claims totaling $3K in drug costs for 98 beneficiaries.
Where is LUKE BAILEY, MD located?
LUKE BAILEY, MD is located at 1965 1ST AVE, OPELIKA, AL, 36801. Phone: (334) 705-0012.
What is LUKE BAILEY, MD's NPI number?
LUKE BAILEY, MD's National Provider Identifier (NPI) is 1538788302, issued on 04/13/2020.
Does LUKE BAILEY, MD prescribe opioids?
Yes, LUKE BAILEY, MD had 66 opioid claims in 2023 with an opioid prescribing rate of 41.8%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does LUKE BAILEY, MD prescribe most often?
Based on 2023 Medicare Part D data, LUKE BAILEY, MD's most frequently prescribed drugs include Oxycodone Hcl, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUKE BAILEY, MD accept Medicare?
LUKE BAILEY, MD appears in CMS Medicare data with 158 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUKE BAILEY, MD's credentials?
LUKE BAILEY, MD's NPI is 1538788302 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.
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