NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1972983625 M.D.
Verify on CMS → Paul Bailey, M.D.
Surgery Physician in Hackensack, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery 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
227
Medicare Part D claims · 88 beneficiaries · Surgery Physician avg: 169
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$366.25
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Paul Bailey, M.D. reported a CMS MIPS final score of 79.3/100 - below the 83.1 national average - and filed 227 Medicare Part D claims in 2023.
- 79.3/100
- MIPS score · -4 vs avg
- 227
- Part D claims, 2023
- 93%
- 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 MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
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
Where Paul Bailey, M.D. sits
This provider among surgery physician peers
Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Bailey, M.D. writes more Part D claims than 81% of them and scores higher on MIPS quality than 27% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Paul Bailey, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Bailey, 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 Paul Bailey, M.D.?
Near national averagePrimary specialty
Surgery Physician
Medicare Part D claims
227 34% vs specialty avg
MIPS final score
79.3/100 3.8 pts vs avg
Specialty distribution in New Jersey
How Surgery Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Paul Bailey, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 79.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgery Physician) - 79.3/100 vs national avg 83.1
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).
Paul Bailey, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 20 PROSPECT AVE STE 703, Hackensack, NJ, 07601, with a listed phone of (551) 996-4424. NPI 1972983625 was issued on 06/08/2015.
Medicare Part D records for calendar year 2023 show 227 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $12K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 29.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.3/100 for the 2023 performance year (Quality 64.5), 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
Provider Details
| NPI | 1972983625 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/08/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.2624
Final Score
Avg: 83.1
64.4771
Quality
96
Promoting Interoperability
Reporting: Group practice
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.
North Florida Surgeons, PA
Jacksonville, FL
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 Paul Bailey, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$366
Largest payer
Davol 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.
Brand vs generic prescribing mix · Generic-heavy
Paul Bailey, M.D. - brand share 7.0%
Surgery Physician average
7% brand-name claims vs 93% generic, on 227 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.
227
Total Claims
$12K
Total Drug Cost
88
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 241
- Total Day Supply
- 3,609
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $10K
- Generic Drug Cost
- $2K
- Opioid Claims
- 67 (29.5% rate)
- Antibiotic Claims
- 27
Patient Demographics
- Average Patient Age
- 65.3 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 35, 65-74: 36, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Bailey, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
51 claims
- Ondansetron Odt
Ondansetron Odt
42 claims
- Tramadol Hcl
Tramadol Hcl
32 claims
- Oxycodone Hcl
Oxycodone Hcl
27 claims
- Eliquis 16
Eliquis
16 claims
| Drug | Claims |
|---|---|
| Omeprazole | 51 |
| Ondansetron Odt Ondansetron | 42 |
| Tramadol Hcl | 32 |
| Oxycodone Hcl | 27 |
| Eliquis Apixaban | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Paul Bailey, 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
Paul Bailey, M.D.'s 227 claims are above the specialty average of 169.
Nearby Surgery Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Bailey.
Dr. William Aarons
M.D.
Atlantic City, NJ
Dr. Farshad Abir
M.D.
Berkeley Heights, NJ
Dr. Alexander Abkin
MD
Florham Park, NJ
Dr. Claude Abouchedid
MD
Trenton, NJ
Dr. Emeka Acholonu
M.D
Voorhees, NJ
Compare Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Paul Bailey, M.D.'s specialty? ▼
Paul Bailey, M.D. specializes in Surgery Physician and practices in Hackensack, New Jersey. Credentials: M.D..
How much does Paul Bailey, M.D. prescribe under Medicare Part D? ▼
In 2023, Paul Bailey, M.D. wrote 227 Medicare Part D claims totaling $12K in drug costs for 88 beneficiaries.
What is Paul Bailey, M.D.'s Medicare quality score? ▼
Paul Bailey, M.D. has a CMS MIPS Final Score of 79.3/100 (Quality: 64.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Bailey, M.D. located? ▼
Paul Bailey, M.D. is located at 20 PROSPECT AVE STE 703, Hackensack, NJ, 07601. Phone: (551) 996-4424.
What is Paul Bailey, M.D.'s NPI number? ▼
Paul Bailey, M.D.'s National Provider Identifier (NPI) is 1972983625, issued on 06/08/2015.
Does Paul Bailey, M.D. prescribe more brand-name or generic drugs? ▼
Paul Bailey, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $10K in brand drug costs.
Does Paul Bailey, M.D. prescribe opioids? ▼
Yes, Paul Bailey, M.D. had 67 opioid claims in 2023 with an opioid prescribing rate of 29.5%.
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 Paul Bailey, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Bailey, M.D.'s most frequently prescribed drugs include Omeprazole, Ondansetron Odt, Tramadol Hcl. 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 227 Part D claims and 88 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 1972983625 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 (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
Compiled from official public sources by the PlainDoctor editorial team.