2026 NPPES data Family Medicine Physician NPI 1881211605 MD
Verify on CMS →

ROXANNE BAUTISTA, MD

Family Medicine Physician in SPRINGFIELD, 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
951
Medicare Part D claims · 151 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
67.1858/100
▼ 16 pts below national avg 83.1 · [object Object]

What the federal data shows

ROXANNE BAUTISTA, MD reported a CMS MIPS final score of 67.1858/100 — below the 83.1 national average — and filed 951 Medicare Part D claims in 2023.

67.1858/100
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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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 average

NPI registry status

Active

Issued 06/27/2020

NPI 1881211605

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

951 72% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

67.1858/100 15.914199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

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

Medicare quality performance — MIPS

ROXANNE BAUTISTA, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
67.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 67.1858/100 vs national avg 83.1

0%100%National avg83%67.2%
MIPS final score (Family Medicine Physician) — 67.1858/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUTISTA 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 951 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $89K in drug spend. 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 67.1858/100 for the 2023 performance year (Quality 63.8613, Cost 56.8734), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 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

520 N 4TH ST
SPRINGFIELD, IL 62702

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

147,640
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.

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

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 67.1858/100 (Quality: 63.8613, Cost: 56.8734). 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 147,640 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

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