2026 NPPES data Plastic Surgery Physician NPI 1316029341 MD
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MICHAEL BAIN, MD

Plastic Surgery Physician in NEWPORT BEACH, California. 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
26
Medicare Part D claims · 18 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$56.6K
57 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL BAIN, MD is a Plastic Surgery Physician ([object Object]) practicing in NEWPORT BEACH, California with a Medicare Part D prescribing footprint of 26 claims across 18 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $56.6K across 57 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL BAIN, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 26 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL BAIN, MD 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).

MICHAEL BAIN, MD at a glance

Below national average

NPI registry status

Active

Issued 10/19/2006

NPI 1316029341

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

26 69% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Plastic Surgery Physician compares to other specialties among California providers

California providers

Plastic Surgery Physician share within California

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within California

Medicare quality performance — MIPS

MICHAEL BAIN, MD's 2023 MIPS final score plotted against the Plastic Surgery Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Plastic Surgery Physician) — 75/100 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).

MICHAEL BAIN, MD is a Plastic Surgery Physician provider practicing in NEWPORT BEACH, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1316029341. 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.

MICHAEL BAIN, MD appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding MD credentials at 1 HOAG DR, NEWPORT BEACH, CA, 92663, with a listed phone of (949) 720-0720. NPI 1316029341 was issued on 10/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAIN 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 26 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $601 in drug spend. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

1 HOAG DR
NEWPORT BEACH, CA 92663

Provider Details

NPI 1316029341
Specialty Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 10/19/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where MICHAEL BAIN, 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.

MICHAEL A BAIN MD INC
NEWPORT BEACH, CA

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 MICHAEL BAIN, MD. Source: openpaymentsdata.cms.gov.

Total received

$56.6K

Largest payer

Organogenesis 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to MICHAEL BAIN, MD. To verify MICHAEL BAIN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

26
Total Claims
$601
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
29
Total Day Supply
477
Generic Drug Cost
$524
Antibiotic Claims
13

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
2.37

Plastic Surgery Physician Overview

How MICHAEL BAIN, MD fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

MICHAEL BAIN, MD's 26 claims are below the specialty average of 84.

Nearby Plastic Surgery Physician Providers in California

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL BAIN, MD's specialty?
MICHAEL BAIN, MD specializes in Plastic Surgery Physician and practices in NEWPORT BEACH, California. Credentials: MD.
How much does MICHAEL BAIN, MD prescribe under Medicare Part D?
In 2023, MICHAEL BAIN, MD wrote 26 Medicare Part D claims totaling $601 in drug costs for 18 beneficiaries.
What is MICHAEL BAIN, MD's Medicare quality score?
MICHAEL BAIN, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL BAIN, MD located?
MICHAEL BAIN, MD is located at 1 HOAG DR, NEWPORT BEACH, CA, 92663. Phone: (949) 720-0720.
What is MICHAEL BAIN, MD's NPI number?
MICHAEL BAIN, MD's National Provider Identifier (NPI) is 1316029341, issued on 10/19/2006.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
Does MICHAEL BAIN, MD accept Medicare?
MICHAEL BAIN, MD appears in CMS Medicare data with 26 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL BAIN, MD's credentials?
MICHAEL BAIN, MD's NPI is 1316029341 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.
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