NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1538423322 PA-C
Verify on CMS → Michael Baines, PA-C
Physician Assistant in Johnson City, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 in Physician Assistant, 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
3K
Medicare Part D claims · 362 beneficiaries · Physician Assistant avg: 832
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Michael Baines, PA-C filed 2,748 Medicare Part D claims in 2024 as a Physician Assistant in Johnson City, Tennessee, prescribing 89% generic.
- 3K
- Part D claims, 2024
- 89%
- generic prescribing
- ≥87th
- 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 Michael Baines, PA-C
Bare NPI registry listing — limited federal enrichment beyond basic enumeration. Verify all credentials with official sources.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538423322), first enumerated 06/27/2012.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,748 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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 1538423322 · Physician Assistant
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1538423322
- ENUM-MID 2012
- TAX-MEGA 156K Physician Assistant
- RX-MID 2,748
- BOOK-LIGHT 2,849 in Tennessee
- PHOTO-ENUM Heather Braun · 2012
Michael Baines, PA-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
2,748 ≥ 87th percentile 87% 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
What does the federal data show about Michael Baines, PA-C?
Quality data not reportedPrimary specialty
Physician Assistant
Medicare Part D claims
2,748 230% vs specialty avg
Specialty distribution in Tennessee
How Physician Assistant compares to other specialties among Tennessee 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 Physician Assistant. 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 | 1538423322 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 06/27/2012 |
Brand vs generic prescribing mix · Typical
Michael Baines, PA-C - brand share 10.0%
Physician Assistant average
10% brand-name claims vs 89% generic, on 2,748 2024 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 2024.
2,748
Total Claims
$153K
Total Drug Cost
362
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,256.167
- Total Day Supply
- 79,313
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $111K
- Generic Drug Cost
- $41K
- Opioid Claims
- 205 (7.5% rate)
- Antibiotic Claims
- 254
Patient Demographics
- Average Patient Age
- 75.5 years
- Avg HCC Risk Score
- 1.72
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 59, 65-74: 104, 75-84: 103, 85+: 96
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Michael Baines, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
139 claims
- Levothyroxine Sodium
Levothyroxine Sodium
101 claims
- Doxycycline Hyclate
Doxycycline Hyclate
82 claims
- Furosemide
Furosemide
80 claims
- Lorazepam
Lorazepam
70 claims
- Eliquis
Eliquis
66 claims
- Pantoprazole Sodium
Pantoprazole Sodium
65 claims
- Omeprazole
Omeprazole
60 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 139 |
| Levothyroxine Sodium | 101 |
| Doxycycline Hyclate | 82 |
| Furosemide | 80 |
| Lorazepam | 70 |
| Eliquis Apixaban | 66 |
| Pantoprazole Sodium | 65 |
| Omeprazole | 60 |
| Atorvastatin Calcium | 56 |
| Montelukast Sodium | 56 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Michael Baines, PA-C fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Michael Baines, PA-C's 2,748 claims are above the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Baines, both outside Tennessee so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Baines.
One of 2,849 Physician Assistant providers enrolled in Tennessee, 5 are shown here.
Katrina Aardema
PA-C
Gallatin, TN
Anum Abbas
PA
Memphis, TN
Samir Abdeljawad
Nashville, TN
Rojin Abdullah
PA-C
Nashville, TN
Cecilia Abello
PA-C
Nashville, TN
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Michael Baines, PA-C's specialty? ▼
Michael Baines, PA-C specializes in Physician Assistant and practices in Johnson City, Tennessee. Credentials: PA-C.
How much does Michael Baines, PA-C prescribe under Medicare Part D? ▼
In 2024, Michael Baines, PA-C wrote 2,748 Medicare Part D claims totaling $153K in drug costs for 362 beneficiaries.
Where is Michael Baines, PA-C located? ▼
Michael Baines, PA-C is located at 400 N STATE OF FRANKLIN RD, Johnson City, TN, 37604. Phone: (423) 431-1960.
What is Michael Baines, PA-C's NPI number? ▼
Michael Baines, PA-C's National Provider Identifier (NPI) is 1538423322, issued on 06/27/2012.
Does Michael Baines, PA-C prescribe more brand-name or generic drugs? ▼
Michael Baines, PA-C's prescribing is 10% brand-name and 89% generic drugs by claim count, with $111K in brand drug costs.
Does Michael Baines, PA-C prescribe opioids? ▼
Yes, Michael Baines, PA-C had 205 opioid claims in 2024 with an opioid prescribing rate of 7.5%.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Michael Baines, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Michael Baines, PA-C's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Levothyroxine Sodium, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Baines, PA-C accept Medicare? ▼
Michael Baines, PA-C appears in CMS Medicare data with 2,748 Part D claims and 362 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Baines, PA-C's credentials? ▼
Michael Baines, PA-C's NPI is 1538423322 with credentials PA-C. 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.