2026 NPPES data Surgery Physician NPI 1245203991 M.D.
Verify on CMS →

MICHAEL BARRETT, M.D.

Surgery Physician in VESTAL, 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
180
Medicare Part D claims · 74 beneficiaries · Surgery Physician avg: 169
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9075/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$23.66
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL BARRETT, M.D. reported a CMS MIPS final score of 82.9075/100 — below the 83.1 national average — and filed 180 Medicare Part D claims in 2023.

82.9075/100
MIPS score · 0 vs avg
180
Part D claims, 2023
92%
generic prescribing
Likely
board-certified (heuristic)

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.

MICHAEL BARRETT, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MICHAEL BARRETT, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 MICHAEL BARRETT, M.D.?

Near national average

NPI registry status

Active

Issued 02/10/2006

NPI 1245203991

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

180 7% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

82.9075/100 0.19249999999999545% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Surgery Physician compares to other specialties among New York providers

New York providers

Surgery Physician share within New York

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

Medicare quality performance — MIPS

MICHAEL BARRETT, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
82.9075/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 82.9075/100 vs national avg 83.1

0%100%National avg83%82.9%
MIPS final score (Surgery Physician) — 82.9075/100 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 BARRETT, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 2517 VESTAL PKWY E, VESTAL, NY, 13850, with a listed phone of (607) 798-1452. NPI 1245203991 was issued on 02/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARRETT 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 180 prescription claims written by this provider, covering 74 Medicare beneficiaries and totaling roughly $69K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 19.4%. 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 82.9075/100 for the 2023 performance year (Quality 74.0928, Cost 65.9443), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

2517 VESTAL PKWY E
VESTAL, NY 13850

Provider Details

NPI 1245203991
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 02/10/2006

CMS Quality Score (MIPS)

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

82.9075
Final Score
Avg: 83.1
74.0928
Quality
65.9443
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL BARRETT, 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.

GUTHRIE MEDICAL GROUP PC
SAYRE, PA
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
BINGHAMTON, 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 MICHAEL BARRETT, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$24

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 MICHAEL BARRETT, M.D.. To verify MICHAEL BARRETT, 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 · Generic-heavy

MICHAEL BARRETT, M.D. — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 180 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.

180
Total Claims
$69K
Total Drug Cost
74
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
235
Total Day Supply
5,033
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$60K
Generic Drug Cost
$8K
Opioid Claims
35 (19.4% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.50
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL BARRETT, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
20
Oxycodone Hcl
19
Loperamide
Loperamide Hcl
14
Tramadol Hcl
12

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

Surgery Physician Overview

How MICHAEL BARRETT, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

MICHAEL BARRETT, M.D.'s 180 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in New York

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

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

Frequently Asked Questions

What is MICHAEL BARRETT, M.D.'s specialty?
MICHAEL BARRETT, M.D. specializes in Surgery Physician and practices in VESTAL, New York. Credentials: M.D..
How much does MICHAEL BARRETT, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL BARRETT, M.D. wrote 180 Medicare Part D claims totaling $69K in drug costs for 74 beneficiaries.
What is MICHAEL BARRETT, M.D.'s Medicare quality score?
MICHAEL BARRETT, M.D. has a CMS MIPS Final Score of 82.9075/100 (Quality: 74.0928, Cost: 65.9443). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL BARRETT, M.D. located?
MICHAEL BARRETT, M.D. is located at 2517 VESTAL PKWY E, VESTAL, NY, 13850. Phone: (607) 798-1452.
What is MICHAEL BARRETT, M.D.'s NPI number?
MICHAEL BARRETT, M.D.'s National Provider Identifier (NPI) is 1245203991, issued on 02/10/2006.
Does MICHAEL BARRETT, M.D. prescribe more brand-name or generic drugs?
MICHAEL BARRETT, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $60K in brand drug costs.
Does MICHAEL BARRETT, M.D. prescribe opioids?
Yes, MICHAEL BARRETT, M.D. had 35 opioid claims in 2023 with an opioid prescribing rate of 19.4%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does MICHAEL BARRETT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL BARRETT, M.D.'s most frequently prescribed drugs include Diphenoxylate-Atropine, Oxycodone Hcl, Loperamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL BARRETT, M.D. accept Medicare?
MICHAEL BARRETT, M.D. appears in CMS Medicare data with 180 Part D claims and 74 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL BARRETT, M.D.'s credentials?
MICHAEL BARRETT, M.D.'s NPI is 1245203991 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