NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1295840577 M.D.
Verify on CMS → Michael Baugh, M.D.
Neurology Physician in Gainesville, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 20,467 in Neurology Physician, 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
2K
Medicare Part D claims · 352 beneficiaries · Neurology Physician avg: 1K
MIPS score
54.1/100
▼ 29 pts below national avg 83.5 · Mid-tier
Industry payments
$4.1K
171 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Michael Baugh, M.D. reported a CMS MIPS final score of 54.1/100 - below the 83.5 national average - and filed 1,789 Medicare Part D claims in 2024.
- 54.1/100
- MIPS score · -29 vs avg
- 2K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥5th
- pct among measured MIPS (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 Baugh, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1295840577), first enumerated 08/20/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,789 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 54.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$4.1K in reported industry payments (171 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1295840577 · Neurology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1295840577
- ENUM-LEGACY 2006
- TAX-MID 20K Neurology Physician
- MIPS-LOW 54.1/100
- RX-MID 1,789
- BOOK-LIGHT 504 in Georgia
- PHOTO-FINISH Rada Petrinjac-Nenadic · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Baugh · this pro…
Baugh · this provider
54.1 MIPS pts
- Rada Petrinjac-N…
Rada Petrinjac-Nenadic
54.1 MIPS pts
- Pawan Rawal · near
Pawan Rawal
54.1 MIPS pts
- James Wang · near
James Wang
54.1 MIPS pts
- Hana Aubrechtova…
Hana Aubrechtova
54.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Michael Baugh, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
54 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michael Baugh, M.D. sits
This provider among neurology physician peers
Across the 5,099 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Baugh, M.D. writes more Part D claims than 68% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Michael Baugh, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Baugh, M.D. 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).
What does the federal data show about Michael Baugh, M.D.?
Below national averagePrimary specialty
Neurology Physician
Medicare Part D claims
1,789 32% vs specialty avg
MIPS final score
54.1/100 29.4 pts vs avg
Specialty distribution in Georgia
How Neurology Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Michael Baugh, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 54.1/100
- vs 83.5 national avg · 2023 performance year
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 | 1295840577 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/20/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
54.0691
Final Score
Measured-score avg: 83.5
45.9637
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Michael Baugh, 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.
Northeast Georgia Diagnostic Associates And Clinic, LLC
Gainesville, GA
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 Baugh, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$4.1K
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,789
Total Claims
$524K
Total Drug Cost
352
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,950.233
- Total Day Supply
- 86,841
- Generic Drug Cost
- $49K
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 1.43
- Gender Split
- 49% female / 51% male
- Age Distribution
- <65: 47, 65-74: 149, 75-84: 121, 85+: 35
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Michael Baugh, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Carbidopa-Levodopa
Carbidopa-Levodopa
197 claims
- Gabapentin
Gabapentin
146 claims
- Donepezil Hcl
Donepezil Hcl
112 claims
- Propranolol Hcl
Propranolol Hcl
83 claims
- Topiramate 59
Topiramate
59 claims
- Rizatriptan 54
Rizatriptan
54 claims
- Prednisone 53
Prednisone
53 claims
- Pregabalin 51
Pregabalin
51 claims
| Drug | Claims |
|---|---|
| Carbidopa-Levodopa Carbidopa/Levodopa | 197 |
| Gabapentin | 146 |
| Donepezil Hcl | 112 |
| Propranolol Hcl | 83 |
| Topiramate | 59 |
| Rizatriptan Rizatriptan Benzoate | 54 |
| Prednisone | 53 |
| Pregabalin | 51 |
| Azathioprine | 46 |
| Memantine Hcl | 42 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Michael Baugh, M.D. fits within the Neurology Physician landscape nationally.
20,467
Neurology Physician Providers in US
54
States with Neurology Physician
1,356
Avg Claims per Provider
Michael Baugh, M.D.'s 1,789 claims are above the specialty average of 1,356.
Nationwide Neurology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Baugh, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (54.1 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Baugh.
One of 504 Neurology Physician providers enrolled in Georgia, 5 are shown here.
Dr. Matthew Abbott
MD
Augusta, GA
Temitope Adeyeye
Douglasville, GA
Dr. Feroze Afzal
MD
Athens, GA
Dr. Matthew Agan
M.D.
Marietta, GA
Dr. Olanrewaju Agbe-Davies
MD
Gainesville, GA
Compare Neurology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Michael Baugh, M.D.'s specialty? ▼
Michael Baugh, M.D. specializes in Neurology Physician and practices in Gainesville, Georgia. Credentials: M.D..
How much does Michael Baugh, M.D. prescribe under Medicare Part D? ▼
In 2024, Michael Baugh, M.D. wrote 1,789 Medicare Part D claims totaling $524K in drug costs for 352 beneficiaries.
What is Michael Baugh, M.D.'s Medicare quality score? ▼
Michael Baugh, M.D. has a CMS MIPS Final Score of 54.1/100 (Quality: 46). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Baugh, M.D. located? ▼
Michael Baugh, M.D. is located at 1240 JESSE JEWELL PKWY SE, Gainesville, GA, 30501. Phone: (770) 534-1117.
What is Michael Baugh, M.D.'s NPI number? ▼
Michael Baugh, M.D.'s National Provider Identifier (NPI) is 1295840577, issued on 08/20/2006.
How many Neurology Physician providers are there in the US? ▼
There are 20,467 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,356 Medicare Part D claims per year.
What drugs does Michael Baugh, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Michael Baugh, M.D.'s most frequently prescribed drugs include Carbidopa-Levodopa, Gabapentin, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Baugh, M.D. accept Medicare? ▼
Michael Baugh, M.D. appears in CMS Medicare data with 1,789 Part D claims and 352 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Baugh, M.D.'s credentials? ▼
Michael Baugh, M.D.'s NPI is 1295840577 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
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.
- 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 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.