NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1538788302 MD
Verify on CMS → Luke Bailey, MD
Otolaryngology Physician in Opelika, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 in Otolaryngology 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
93
Medicare Part D claims · 42 beneficiaries · Otolaryngology Physician avg: 536
Industry payments
$217.96
5 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Luke Bailey, MD filed 93 Medicare Part D claims in 2024 as an Otolaryngology Physician in Opelika, Alabama.
- 93
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Luke Bailey, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538788302), first enumerated 04/13/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 93 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$217.96 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538788302 · Otolaryngology Physician
NPI-10 · ENUM-RECENT · TAX-MID · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1538788302
- ENUM-RECENT 2020
- TAX-MID 11K Otolaryngology Physician
- RX-TRACE 93
- BOOK-THIN 151 in Alabama
- PHOTO-ENUM Erick Garcia · 2020
Luke Bailey, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
93 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
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).
What does the federal data show about Luke Bailey, MD?
Quality data not reportedPrimary specialty
Otolaryngology Physician
Medicare Part D claims
93 83% vs specialty avg
Specialty distribution in Alabama
How Otolaryngology Physician compares to other specialties among Alabama providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Otolaryngology Physician. Verify directly:
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).
Practice Address
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 2024.
93
Total Claims
$1K
Total Drug Cost
42
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 105
- Total Day Supply
- 1,690
- Generic Drug Cost
- $1K
- Opioid Claims
- 24 (25.8% rate)
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 24 |
* 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.
11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider
Luke Bailey, MD's 93 claims are below the specialty average of 536.
Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bailey, both outside Alabama so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 151 Otolaryngology Physician providers enrolled in Alabama, 5 are shown here.
Garima Agarwal
Birmingham, AL
Dr. Jack Aland
M.D.
Birmingham, AL
Dr. James Anderson
MD
Montgomery, AL
Dr. Scott Asher
M.D.
Dothan, AL
Dr. William Barber
MD
Birmingham, AL
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 2024, Luke Bailey, MD wrote 93 Medicare Part D claims totaling $1K in drug costs for 42 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 24 opioid claims in 2024 with an opioid prescribing rate of 25.8%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Luke Bailey, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Luke Bailey, MD's most frequently prescribed drugs include Oxycodone Hcl. 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 93 Part D claims and 42 Medicare beneficiaries in 2024. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.