2026 NPPES data Specialist NPI 1396896577 M.D.
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MATTHEW BAILEY, M.D.

Specialist in KALISPELL, Montana. 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
186
Medicare Part D claims · 126 beneficiaries · Specialist avg: 1K
What the federal data reveals: MATTHEW BAILEY, M.D. is a Specialist ([object Object]) practicing in KALISPELL, Montana with a Medicare Part D prescribing footprint of 186 claims across 126 beneficiaries .

What stands out: MATTHEW BAILEY, M.D. filed 186 Medicare Part D claims in 2023 across KALISPELL, Montana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MATTHEW BAILEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/15/2007

NPI 1396896577

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

186 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Montana

How Specialist compares to other specialties among Montana providers

Montana providers

Specialist share within Montana

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

Specialty board-certification context

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

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

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

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

MATTHEW BAILEY, M.D. is a Specialist provider practicing in KALISPELL, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1396896577. 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.

MATTHEW BAILEY, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 111 SUNNYVIEW LN, KALISPELL, MT, 59901, with a listed phone of (406) 752-7900. NPI 1396896577 was issued on 01/15/2007. 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 186 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $925 in drug spend, with an opioid prescribing rate of 47.3%. 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.

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

111 SUNNYVIEW LN
KALISPELL, MT 59901

Provider Details

NPI 1396896577
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 01/15/2007

Hospital and facility affiliations

Facilities where MATTHEW 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.

KALISPELL REGIONAL MEDICAL CENTER INC
KALISPELL, MT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

186
Total Claims
$925
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
208
Total Day Supply
3,460
Generic Drug Cost
$921
Opioid Claims
88 (47.3% rate)

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.91
Gender Split
49% female / 51% 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
Meloxicam
80
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
51
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
22

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

Specialist Overview

How MATTHEW 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

MATTHEW BAILEY, M.D.'s 186 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Montana

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

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

Frequently Asked Questions

What is MATTHEW BAILEY, M.D.'s specialty?
MATTHEW BAILEY, M.D. specializes in Specialist and practices in KALISPELL, Montana. Credentials: M.D..
How much does MATTHEW BAILEY, M.D. prescribe under Medicare Part D?
In 2023, MATTHEW BAILEY, M.D. wrote 186 Medicare Part D claims totaling $925 in drug costs for 126 beneficiaries.
Where is MATTHEW BAILEY, M.D. located?
MATTHEW BAILEY, M.D. is located at 111 SUNNYVIEW LN, KALISPELL, MT, 59901. Phone: (406) 752-7900.
What is MATTHEW BAILEY, M.D.'s NPI number?
MATTHEW BAILEY, M.D.'s National Provider Identifier (NPI) is 1396896577, issued on 01/15/2007.
Does MATTHEW BAILEY, M.D. prescribe opioids?
Yes, MATTHEW BAILEY, M.D. had 88 opioid claims in 2023 with an opioid prescribing rate of 47.3%.
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 MATTHEW BAILEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW BAILEY, M.D.'s most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW BAILEY, M.D. accept Medicare?
MATTHEW BAILEY, M.D. appears in CMS Medicare data with 186 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW BAILEY, M.D.'s credentials?
MATTHEW BAILEY, M.D.'s NPI is 1396896577 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