2026 NPPES data Specialist NPI 1518946433 M.D.
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MARGARET BAILEY, M.D.

Specialist in CAMILLUS, New York. 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 · 492 beneficiaries · Specialist avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.5847/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$459.86
22 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARGARET BAILEY, M.D. is a Specialist ([object Object]) practicing in CAMILLUS, New York with a Medicare Part D prescribing footprint of 2K claims across 492 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 89.5847/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $459.86 across 22 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARGARET BAILEY, M.D. reported a CMS MIPS final score of 89.5847 out of 100, above the 83.1 national average, and filed 1,723 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARGARET BAILEY, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/10/2006

NPI 1518946433

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,723 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

89.5847/100 6.484700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Specialist compares to other specialties among New York providers

New York providers

Specialist share within New York

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within New York

Medicare quality performance — MIPS

MARGARET BAILEY, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
89.5847/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 89.5847/100 vs national avg 83.1

0%100%National avg83%89.6%
MIPS final score (Specialist) — 89.5847/100 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).

MARGARET BAILEY, M.D. is a Specialist provider practicing in CAMILLUS, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1518946433. 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.

MARGARET BAILEY, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 260 TOWNSHIP BLVD, CAMILLUS, NY, 13031, with a listed phone of (315) 708-0190. NPI 1518946433 was issued on 01/10/2006. 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 1,723 prescription claims written by this provider, covering 492 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 17% brand-name and 83% generic by claim count. 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 89.5847/100 for the 2023 performance year (Quality 88.2919, Cost 76.9905), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

260 TOWNSHIP BLVD
CAMILLUS, NY 13031

Provider Details

NPI 1518946433
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 01/10/2006

CMS Quality Score (MIPS)

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

89.5847
Final Score
Avg: 83.1
88.2919
Quality
76.9905
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARGARET 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.

ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK PC
CAMILLUS, NY

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

Total received

$460

Largest payer

ABBVIE 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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to MARGARET BAILEY, M.D.. To verify MARGARET BAILEY, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARGARET BAILEY, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 1,723 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.

1,723
Total Claims
$1.1M
Total Drug Cost
492
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,630
Total Day Supply
105,258
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$71K
Antibiotic Claims
98

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.19
Gender Split
80% female / 20% male
Age Distribution
<65: 46, 65-74: 258, 75-84: 142, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pantoprazole Sodium
346
Famotidine
275
Omeprazole
193
Budesonide Dr
Budesonide
51
Humira(Cf) Pen
Adalimumab
51
Sucralfate
51
Ondansetron Hcl
45
Lansoprazole
43
Dicyclomine Hcl
40
Esomeprazole Magnesium
39

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

Specialist Overview

How MARGARET BAILEY, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

MARGARET BAILEY, M.D.'s 1,723 claims are above the specialty average of 1,474.

Nearby Specialist Providers in New York

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARGARET BAILEY, M.D.'s specialty?
MARGARET BAILEY, M.D. specializes in Specialist and practices in CAMILLUS, New York. Credentials: M.D..
How much does MARGARET BAILEY, M.D. prescribe under Medicare Part D?
In 2023, MARGARET BAILEY, M.D. wrote 1,723 Medicare Part D claims totaling $1.1M in drug costs for 492 beneficiaries.
What is MARGARET BAILEY, M.D.'s Medicare quality score?
MARGARET BAILEY, M.D. has a CMS MIPS Final Score of 89.5847/100 (Quality: 88.2919, Cost: 76.9905). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGARET BAILEY, M.D. located?
MARGARET BAILEY, M.D. is located at 260 TOWNSHIP BLVD, CAMILLUS, NY, 13031. Phone: (315) 708-0190.
What is MARGARET BAILEY, M.D.'s NPI number?
MARGARET BAILEY, M.D.'s National Provider Identifier (NPI) is 1518946433, issued on 01/10/2006.
Does MARGARET BAILEY, M.D. prescribe more brand-name or generic drugs?
MARGARET BAILEY, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.0M in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does MARGARET BAILEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARGARET BAILEY, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Famotidine, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGARET BAILEY, M.D. accept Medicare?
MARGARET BAILEY, M.D. appears in CMS Medicare data with 1,723 Part D claims and 492 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGARET BAILEY, M.D.'s credentials?
MARGARET BAILEY, M.D.'s NPI is 1518946433 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.
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