2026 NPPES data Physician Assistant NPI 1801832498 PA-C
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NATHAN BAYNES, PA-C

Physician Assistant in BLOOMINGTON, Indiana. 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
815
Medicare Part D claims · 221 beneficiaries · Physician Assistant avg: 790
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: NATHAN BAYNES, PA-C is a Physician Assistant ([object Object]) practicing in BLOOMINGTON, Indiana with a Medicare Part D prescribing footprint of 815 claims across 221 beneficiaries — 4% brand-name prescribing .

What stands out: NATHAN BAYNES, PA-C filed 815 Medicare Part D claims in 2023 across BLOOMINGTON, Indiana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

NATHAN BAYNES, PA-C at a glance

Quality data not reported

NPI registry status

Active

Issued 06/21/2006

NPI 1801832498

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

815 3% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Indiana

How Physician Assistant compares to other specialties among Indiana providers

Indiana providers

Physician Assistant share within Indiana

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Indiana

Specialty board-certification context

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

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

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

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

NATHAN BAYNES, PA-C is a Physician Assistant provider practicing in BLOOMINGTON, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1801832498. 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.

NATHAN BAYNES, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 2605 E CREEKS EDGE DR, BLOOMINGTON, IN, 47401, with a listed phone of (812) 355-2300. NPI 1801832498 was issued on 06/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAYNES 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 815 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $22K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 33.7%. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401

Provider Details

NPI 1801832498
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 06/21/2006

Hospital and facility affiliations

Facilities where NATHAN BAYNES, PA-C 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.

INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
BLOOMINGTON, IN
IU HEALTH MEDICAL GROUP LLC
INDIANAPOLIS, IN

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

Brand vs generic prescribing mix · Generic-heavy

NATHAN BAYNES, PA-C — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 815 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.

815
Total Claims
$22K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
819
Total Day Supply
7,762
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$15K
Generic Drug Cost
$7K
Opioid Claims
275 (33.7% rate)
Antibiotic Claims
168

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
0.86
Gender Split
63% female / 37% 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
Mupirocin
157
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
141
Ondansetron Odt
Ondansetron
103
Cephalexin
97
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
89
Cyclobenzaprine Hcl
52
Amoxicillin
31
Tramadol Hcl
31
Xarelto
Rivaroxaban
21
Cefadroxil
17

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

Physician Assistant Overview

How NATHAN BAYNES, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

NATHAN BAYNES, PA-C's 815 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Indiana

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

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

Frequently Asked Questions

What is NATHAN BAYNES, PA-C's specialty?
NATHAN BAYNES, PA-C specializes in Physician Assistant and practices in BLOOMINGTON, Indiana. Credentials: PA-C.
How much does NATHAN BAYNES, PA-C prescribe under Medicare Part D?
In 2023, NATHAN BAYNES, PA-C wrote 815 Medicare Part D claims totaling $22K in drug costs for 221 beneficiaries.
Where is NATHAN BAYNES, PA-C located?
NATHAN BAYNES, PA-C is located at 2605 E CREEKS EDGE DR, BLOOMINGTON, IN, 47401. Phone: (812) 355-2300.
What is NATHAN BAYNES, PA-C's NPI number?
NATHAN BAYNES, PA-C's National Provider Identifier (NPI) is 1801832498, issued on 06/21/2006.
Does NATHAN BAYNES, PA-C prescribe more brand-name or generic drugs?
NATHAN BAYNES, PA-C's prescribing is 4% brand-name and 96% generic drugs by claim count, with $15K in brand drug costs.
Does NATHAN BAYNES, PA-C prescribe opioids?
Yes, NATHAN BAYNES, PA-C had 275 opioid claims in 2023 with an opioid prescribing rate of 33.7%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does NATHAN BAYNES, PA-C prescribe most often?
Based on 2023 Medicare Part D data, NATHAN BAYNES, PA-C's most frequently prescribed drugs include Mupirocin, Oxycodone-Acetaminophen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN BAYNES, PA-C accept Medicare?
NATHAN BAYNES, PA-C appears in CMS Medicare data with 815 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN BAYNES, PA-C's credentials?
NATHAN BAYNES, PA-C's NPI is 1801832498 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

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