2026 NPPES data Cardiovascular Disease Physician NPI 1770711160 M.D.
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PAUL BAILEY, M.D.

Cardiovascular Disease Physician in LEXINGTON, Massachusetts. 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
2K
Medicare Part D claims · 387 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

PAUL BAILEY, M.D. filed 2,312 Medicare Part D claims in 2023 as a Cardiovascular Disease Physician in LEXINGTON, Massachusetts, prescribing 80% generic.

2K
Part D claims, 2023
80%
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.

PAUL BAILEY, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,312 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

PAUL BAILEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 PAUL BAILEY, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/24/2009

NPI 1770711160

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

2,312 24% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in Massachusetts

How Cardiovascular Disease Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Cardiovascular Disease Physician share within Massachusetts

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Massachusetts

Specialty board-certification context

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

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

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

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

PAUL BAILEY, M.D. is a Cardiovascular Disease Physician provider practicing in LEXINGTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1770711160. 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.

PAUL BAILEY, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 482 BEDFORD ST, LEXINGTON, MA, 02420, with a listed phone of (617) 667-8800. NPI 1770711160 was issued on 06/24/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAILEY 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 2,312 prescription claims written by this provider, covering 387 Medicare beneficiaries and totaling roughly $528K in drug spend, split 20% brand-name and 80% generic by claim count. 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.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

482 BEDFORD ST
LEXINGTON, MA 02420

Provider Details

NPI 1770711160
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 06/24/2009

Hospital and facility affiliations

Facilities where PAUL BAILEY, 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.

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
CHELSEA, MA

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

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to PAUL BAILEY, M.D.. To verify PAUL BAILEY, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAUL BAILEY, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 2,312 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.

2,312
Total Claims
$528K
Total Drug Cost
387
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,771
Total Day Supply
171,800
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$466K
Generic Drug Cost
$62K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.30
Gender Split
47% female / 53% male
Age Distribution
<65: 18, 65-74: 159, 75-84: 163, 85+: 47

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
350
Eliquis
Apixaban
252
Atorvastatin Calcium
212
Amlodipine Besylate
136
Losartan Potassium
126
Rosuvastatin Calcium
118
Lisinopril
97
Carvedilol
89
Furosemide
58
Isosorbide Mononitrate Er
Isosorbide Mononitrate
52

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

Cardiovascular Disease Physician Overview

How PAUL BAILEY, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

PAUL BAILEY, M.D.'s 2,312 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Massachusetts

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL BAILEY, M.D.'s specialty?
PAUL BAILEY, M.D. specializes in Cardiovascular Disease Physician and practices in LEXINGTON, Massachusetts. Credentials: M.D..
How much does PAUL BAILEY, M.D. prescribe under Medicare Part D?
In 2023, PAUL BAILEY, M.D. wrote 2,312 Medicare Part D claims totaling $528K in drug costs for 387 beneficiaries.
Where is PAUL BAILEY, M.D. located?
PAUL BAILEY, M.D. is located at 482 BEDFORD ST, LEXINGTON, MA, 02420. Phone: (617) 667-8800.
What is PAUL BAILEY, M.D.'s NPI number?
PAUL BAILEY, M.D.'s National Provider Identifier (NPI) is 1770711160, issued on 06/24/2009.
Does PAUL BAILEY, M.D. prescribe more brand-name or generic drugs?
PAUL BAILEY, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $466K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does PAUL BAILEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL BAILEY, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL BAILEY, M.D. accept Medicare?
PAUL BAILEY, M.D. appears in CMS Medicare data with 2,312 Part D claims and 387 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL BAILEY, M.D.'s credentials?
PAUL BAILEY, M.D.'s NPI is 1770711160 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.
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