NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1881211605 MD
Verify on CMS → Roxanne Bautista, MD
Family Medicine Physician in Springfield, Illinois.
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
951
Medicare Part D claims · 151 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
67.2/100
▼ 16 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Roxanne Bautista, MD reported a CMS MIPS final score of 67.2/100 - below the 83.1 national average - and filed 951 Medicare Part D claims in 2023.
- 67.2/100
- MIPS score · -16 vs avg
- 951
- Part D claims, 2023
- 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.
Roxanne Bautista, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
67 7th percentile higher than 7% 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 Roxanne Bautista, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Roxanne Bautista, MD writes more Part D claims than 33% of them and scores higher on MIPS quality than 9% - placing this provider in the lower-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 family medicine physician peer from a representative sample of 60; the gold marker is Roxanne Bautista, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Roxanne Bautista, 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 Roxanne Bautista, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
951 72% vs specialty avg
MIPS final score
67.2/100 15.9 pts vs avg
Specialty distribution in Illinois
How Family Medicine Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Roxanne Bautista, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 67.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 67.2/100 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).
Roxanne Bautista, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 520 N 4TH ST, Springfield, IL, 62702, with a listed phone of (217) 545-8000. NPI 1881211605 was issued on 06/27/2020.
Medicare Part D records for calendar year 2023 show 951 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $89K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.2/100 for the 2023 performance year (Quality 63.9, Cost 56.9), compared with the national average of 83.1.
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 | 1881211605 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/27/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
67.1858
Final Score
Avg: 83.1
63.8613
Quality
56.8734
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Roxanne Bautista, 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.
Decatur Memorial Hospital
★★★☆☆ 3/5
Decatur, IL
Acute Care Hospitals
CMS CCN: 140135
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 - 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 Roxanne Bautista, MD. To verify Roxanne Bautista, MD'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
951
Total Claims
$89K
Total Drug Cost
151
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,588
- Total Day Supply
- 45,187
- Generic Drug Cost
- $15K
- Antibiotic Claims
- 28
Patient Demographics
- Average Patient Age
- 64.6 years
- Avg HCC Risk Score
- 1.90
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 56, 65-74: 71, 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 Roxanne Bautista, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
53 claims
- Metformin Hcl
Metformin Hcl
47 claims
- Atorvastatin Calcium
Atorvastatin Calcium
45 claims
- Amlodipine Besylate
Amlodipine Besylate
39 claims
- Lisinopril
Lisinopril
35 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
32 claims
- Omeprazole
Omeprazole
30 claims
- Duloxetine Hcl
Duloxetine Hcl
27 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 53 |
| Metformin Hcl | 47 |
| Atorvastatin Calcium | 45 |
| Amlodipine Besylate | 39 |
| Lisinopril | 35 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 32 |
| Omeprazole | 30 |
| Duloxetine Hcl | 27 |
| Famotidine | 25 |
| Gabapentin | 24 |
* 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 Roxanne Bautista, 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
Roxanne Bautista, MD's 951 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Bautista.
Dr. Jon Aagaard
MD
Wheaton, IL
Dr. Napoleon Abando
MD
Woodstock, IL
Dr. Nikka Abaricia
MD
Chicago, IL
Mohemmed Abbas
Chicago, IL
Muhammad Abbas
Alton, IL
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 Illinois 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Roxanne Bautista, MD's specialty? ▼
Roxanne Bautista, MD specializes in Family Medicine Physician and practices in Springfield, Illinois. Credentials: MD.
How much does Roxanne Bautista, MD prescribe under Medicare Part D? ▼
In 2023, Roxanne Bautista, MD wrote 951 Medicare Part D claims totaling $89K in drug costs for 151 beneficiaries.
What is Roxanne Bautista, MD's Medicare quality score? ▼
Roxanne Bautista, MD has a CMS MIPS Final Score of 67.2/100 (Quality: 63.9, Cost: 56.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roxanne Bautista, MD located? ▼
Roxanne Bautista, MD is located at 520 N 4TH ST, Springfield, IL, 62702. Phone: (217) 545-8000.
What is Roxanne Bautista, MD's NPI number? ▼
Roxanne Bautista, MD's National Provider Identifier (NPI) is 1881211605, issued on 06/27/2020.
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 Roxanne Bautista, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Roxanne Bautista, MD's most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roxanne Bautista, MD accept Medicare? ▼
Roxanne Bautista, MD appears in CMS Medicare data with 951 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roxanne Bautista, MD's credentials? ▼
Roxanne Bautista, MD's NPI is 1881211605 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
Compiled from official public sources by the PlainDoctor editorial team.
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.