2026 NPPES data Obesity Medicine (Family Medicine) Physician NPI 1194068700 M.D.
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PAULA BARNES, M.D.

Obesity Medicine (Family Medicine) Physician in WESTMONT, Illinois. 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
262
Medicare Part D claims · 50 beneficiaries · Obesity Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
16%
generic claims · 84% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.2681/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$102.1K
237 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAULA BARNES, M.D. is a Obesity Medicine (Family Medicine) Physician ([object Object]) practicing in WESTMONT, Illinois with a Medicare Part D prescribing footprint of 262 claims across 50 beneficiaries — 84% brand-name prescribing . Their CMS MIPS Final Score of 88.2681/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $102.1K across 237 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAULA BARNES, M.D. reported a CMS MIPS final score of 88.2681 out of 100, above the 83.1 national average, and filed 262 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PAULA BARNES, 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).

PAULA BARNES, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/02/2013

NPI 1194068700

Primary specialty

Obesity Medicine (Family Medicine) Physician

Rare

149 US NPIs in this specialty

Medicare Part D claims

262 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,239

MIPS final score

88.2681/100 5.16810000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Obesity Medicine (Family Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Obesity Medicine (Family Medicine) Physician share within Illinois

1. Obesity Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obesity Medicine (Family Medicine) Physician share within Illinois

Medicare quality performance — MIPS

PAULA BARNES, M.D.'s 2023 MIPS final score plotted against the Obesity Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
88.2681/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obesity Medicine (Family Medicine) Physician) — 88.2681/100 vs national avg 83.1

0%100%National avg83%88.3%
MIPS final score (Obesity Medicine (Family Medicine) Physician) — 88.2681/100 vs national avg 83.1

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).

PAULA BARNES, M.D. is a Obesity Medicine (Family Medicine) Physician provider practicing in WESTMONT, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194068700. 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.

PAULA BARNES, M.D. appears in the CMS NPPES registry as a Obesity Medicine (Family Medicine) Physician provider holding M.D. credentials at 460 QUAIL RIDGE DR, WESTMONT, IL, 60559, with a listed phone of (630) 986-2800. NPI 1194068700 was issued on 04/02/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARNES 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 262 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $312K in drug spend, split 84% brand-name and 16% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.2681/100 for the 2023 performance year (Quality 72.02, Cost 57.7215), compared with the national average of 83.1.

Obesity Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 149 enrolled providers across 39 states and an average of 1,239 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

460 QUAIL RIDGE DR
WESTMONT, IL 60559

Provider Details

NPI 1194068700
Specialty Obesity Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 04/02/2013

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.2681
Final Score
Avg: 83.1
72.02
Quality
57.7215
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAULA BARNES, 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.

ILLINOIS BONE AND JOINT INSTITUTE, LLC
BANNOCKBURN, IL

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 PAULA BARNES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$102.1K

Largest payer

Lilly USA, LLC

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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to PAULA BARNES, M.D.. To verify PAULA BARNES, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

PAULA BARNES, M.D. — brand share 84.0%
Specialty average (est.)

84% brand-name claims vs 16% generic, on 262 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.

262
Total Claims
$312K
Total Drug Cost
50
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
387
Total Day Supply
11,190
Brand vs Generic
84% brand / 16% generic
Brand Drug Cost
$310K

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
1.14
Gender Split
74% female / 26% 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
Ozempic
Semaglutide
163
Rybelsus
Semaglutide
25
Topiramate
17
Mounjaro
Tirzepatide
15

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

Obesity Medicine (Family Medicine) Physician Overview

How PAULA BARNES, M.D. fits within the Obesity Medicine (Family Medicine) Physician landscape nationally.

149
Obesity Medicine (Family Medicine) Physician Providers in US
39
States with Obesity Medicine (Family Medicine) Physician
1,239
Avg Claims per Provider

PAULA BARNES, M.D.'s 262 claims are below the specialty average of 1,239.

Nearby Obesity Medicine (Family Medicine) Physician Providers in Illinois

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

Compare Obesity Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAULA BARNES, M.D.'s specialty?
PAULA BARNES, M.D. specializes in Obesity Medicine (Family Medicine) Physician and practices in WESTMONT, Illinois. Credentials: M.D..
How much does PAULA BARNES, M.D. prescribe under Medicare Part D?
In 2023, PAULA BARNES, M.D. wrote 262 Medicare Part D claims totaling $312K in drug costs for 50 beneficiaries.
What is PAULA BARNES, M.D.'s Medicare quality score?
PAULA BARNES, M.D. has a CMS MIPS Final Score of 88.2681/100 (Quality: 72.02, Cost: 57.7215). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAULA BARNES, M.D. located?
PAULA BARNES, M.D. is located at 460 QUAIL RIDGE DR, WESTMONT, IL, 60559. Phone: (630) 986-2800.
What is PAULA BARNES, M.D.'s NPI number?
PAULA BARNES, M.D.'s National Provider Identifier (NPI) is 1194068700, issued on 04/02/2013.
Does PAULA BARNES, M.D. prescribe more brand-name or generic drugs?
PAULA BARNES, M.D.'s prescribing is 84% brand-name and 16% generic drugs by claim count, with $310K in brand drug costs.
How many Obesity Medicine (Family Medicine) Physician providers are there in the US?
There are 149 Obesity Medicine (Family Medicine) Physician providers across 39 states in the US. The average Obesity Medicine (Family Medicine) Physician provider writes 1,239 Medicare Part D claims per year.
What drugs does PAULA BARNES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAULA BARNES, M.D.'s most frequently prescribed drugs include Ozempic, Rybelsus, Topiramate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAULA BARNES, M.D. accept Medicare?
PAULA BARNES, M.D. appears in CMS Medicare data with 262 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAULA BARNES, M.D.'s credentials?
PAULA BARNES, M.D.'s NPI is 1194068700 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.
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