NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1366409682 MD
Verify on CMS → Paul Bailey, MD
Family Medicine Physician in Bracey, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine 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
8K
Medicare Part D claims · 607 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.2/100
▼ 7 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Paul Bailey, MD reported a CMS MIPS final score of 76.2/100 - below the 83.5 national average - and filed 8,491 Medicare Part D claims in 2023.
- 76.2/100
- MIPS score · -7 vs avg
- 8K
- 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.
Paul Bailey, MD'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.
76 ≥ 17th percentile 17% 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 Paul Bailey, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Bailey, MD writes more Part D claims than 84% of them and scores higher on MIPS quality than 18% - 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 family medicine physician peer from a representative sample of 60; the gold marker is Paul Bailey, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Bailey, MD 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, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
8,491 148% vs specialty avg
MIPS final score
76.2/100 7.3 pts vs avg
Specialty distribution in Virginia
How Family Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Paul Bailey, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 76.2/100
- 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).
Paul Bailey, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 9782 HWY 903, Bracey, VA, 23919, with a listed phone of (434) 636-6903. NPI 1366409682 was issued on 04/28/2006.
Medicare Part D records for calendar year 2023 show 8,491 prescription claims written by this provider, covering 607 Medicare beneficiaries and totaling roughly $639K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 4.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.2/100 for the 2023 performance year (Quality 64.6, Cost 56.2), compared with the 83.5 average among clinicians with a measured score.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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 | 1366409682 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.2306
Final Score
Measured-score avg: 83.5
64.5816
Quality
56.1869
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Paul Bailey, MD 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.
Mcv Associated Physicians
Bracey, VA
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
Paul Bailey, MD - brand share 8.0%
Family Medicine Physician average
8% brand-name claims vs 92% generic, on 8,491 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.
8,491
Total Claims
$639K
Total Drug Cost
607
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20,216
- Total Day Supply
- 591,351
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $457K
- Generic Drug Cost
- $179K
- Opioid Claims
- 406 (4.8% rate)
- Antibiotic Claims
- 163
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 54, 65-74: 293, 75-84: 189, 85+: 71
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, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lisinopril
Lisinopril
405 claims
- Atorvastatin Calcium
Atorvastatin Calcium
355 claims
- Amlodipine Besylate
Amlodipine Besylate
301 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
300 claims
- Losartan Potassium
Losartan Potassium
204 claims
- Metoprolol Succinate
Metoprolol Succinate
192 claims
- Omeprazole
Omeprazole
192 claims
- Levothyroxine Sodium
Levothyroxine Sodium
177 claims
| Drug | Claims |
|---|---|
| Lisinopril | 405 |
| Atorvastatin Calcium | 355 |
| Amlodipine Besylate | 301 |
| Rosuvastatin Calcium | 300 |
| Losartan Potassium | 204 |
| Metoprolol Succinate | 192 |
| Omeprazole | 192 |
| Levothyroxine Sodium | 177 |
| Pantoprazole Sodium | 167 |
| Pravastatin Sodium | 164 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Paul Bailey, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Paul Bailey, MD's 8,491 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Bailey.
One of 3,957 Family Medicine Physician providers enrolled in Virginia, 5 are shown here.
Dr. Maureen Aaron
M.D.
Martinsville, VA
Dr. Marianne Abadam
DO
Hampton, VA
Dr. Linda Abbey
M.D.
Richmond, VA
Dr. David Abbot
MD
Vienna, VA
Dr. James Abbott
M.D.
Richmond, VA
Compare Family Medicine 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 Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Paul Bailey, MD's specialty? ▼
Paul Bailey, MD specializes in Family Medicine Physician and practices in Bracey, Virginia. Credentials: MD.
How much does Paul Bailey, MD prescribe under Medicare Part D? ▼
In 2023, Paul Bailey, MD wrote 8,491 Medicare Part D claims totaling $639K in drug costs for 607 beneficiaries.
What is Paul Bailey, MD's Medicare quality score? ▼
Paul Bailey, MD has a CMS MIPS Final Score of 76.2/100 (Quality: 64.6, Cost: 56.2). 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 Paul Bailey, MD located? ▼
Paul Bailey, MD is located at 9782 HWY 903, Bracey, VA, 23919. Phone: (434) 636-6903.
What is Paul Bailey, MD's NPI number? ▼
Paul Bailey, MD's National Provider Identifier (NPI) is 1366409682, issued on 04/28/2006.
Does Paul Bailey, MD prescribe more brand-name or generic drugs? ▼
Paul Bailey, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $457K in brand drug costs.
Does Paul Bailey, MD prescribe opioids? ▼
Yes, Paul Bailey, MD had 406 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Paul Bailey, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Bailey, MD's most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Bailey, MD accept Medicare? ▼
Paul Bailey, MD appears in CMS Medicare data with 8,491 Part D claims and 607 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Bailey, MD's credentials? ▼
Paul Bailey, MD's NPI is 1366409682 with credentials MD. 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
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 May 2026.