2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1396912911 M.D.
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SAMUEL BAILEY, M.D.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in SCOTTSDALE, Arizona. 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
1K
Medicare Part D claims · 441 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.2421/100
▼ 14 pts below national avg 83.1 · [object Object]
Industry payments
$246.31
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SAMUEL BAILEY, M.D. reported a CMS MIPS final score of 69.2421/100 — below the 83.1 national average — and filed 1,157 Medicare Part D claims in 2023.

69.2421/100
MIPS score · -14 vs avg
1K
Part D claims, 2023
96%
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.

SAMUEL 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

69 8th percentile higher than 8% 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)

SAMUEL 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 SAMUEL BAILEY, M.D.?

Below national average

NPI registry status

Active

Issued 05/13/2008

NPI 1396912911

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

1,157 205% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

69.2421/100 13.8579% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Arizona

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Arizona providers

Arizona providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Arizona

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Arizona

Medicare quality performance — MIPS

SAMUEL BAILEY, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Below national average
MIPS Final Score
69.2421/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 69.2421/100 vs national avg 83.1

0%100%National avg83%69.2%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 69.2421/100 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).

SAMUEL BAILEY, M.D. appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding M.D. credentials at 20201 N SCOTTSDALE HEALTHCARE DR, SCOTTSDALE, AZ, 85255, with a listed phone of (480) 684-1360. NPI 1396912911 was issued on 05/13/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAILEY 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 1,157 prescription claims written by this provider, covering 441 Medicare beneficiaries and totaling roughly $33K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 3.5%. 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 69.2421/100 for the 2023 performance year (Quality 69.8691, Cost 28.438), compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

20201 N SCOTTSDALE HEALTHCARE DR
SCOTTSDALE, AZ 85255

Provider Details

NPI 1396912911
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 05/13/2008

CMS Quality Score (MIPS)

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

69.2421
Final Score
Avg: 83.1
69.8691
Quality
28.438
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SAMUEL 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.

VALLEY ENT PC
SCOTTSDALE, AZ

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 SAMUEL BAILEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$246

Largest payer

GlaxoSmithKline, 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.

Brand vs generic prescribing mix · Generic-heavy

SAMUEL BAILEY, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 1,157 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.

1,157
Total Claims
$33K
Total Drug Cost
441
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,787
Total Day Supply
44,806
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$2K
Generic Drug Cost
$31K
Opioid Claims
41 (3.5% rate)
Antibiotic Claims
158

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.03
Gender Split
54% female / 46% male
Age Distribution
<65: 19, 65-74: 200, 75-84: 183, 85+: 39

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SAMUEL BAILEY, M.D. 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
Azelastine Hcl
174
Ipratropium Bromide
161
Montelukast Sodium
104
Levocetirizine Dihydrochloride
65
Prednisone
63
Fluticasone Propionate
56
Omeprazole
39
Famotidine
35
Cefdinir
34
Doxycycline Hyclate
32

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How SAMUEL BAILEY, M.D. fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

SAMUEL BAILEY, M.D.'s 1,157 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Arizona

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

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAMUEL BAILEY, M.D.'s specialty?
SAMUEL BAILEY, M.D. specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in SCOTTSDALE, Arizona. Credentials: M.D..
How much does SAMUEL BAILEY, M.D. prescribe under Medicare Part D?
In 2023, SAMUEL BAILEY, M.D. wrote 1,157 Medicare Part D claims totaling $33K in drug costs for 441 beneficiaries.
What is SAMUEL BAILEY, M.D.'s Medicare quality score?
SAMUEL BAILEY, M.D. has a CMS MIPS Final Score of 69.2421/100 (Quality: 69.8691, Cost: 28.438). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAMUEL BAILEY, M.D. located?
SAMUEL BAILEY, M.D. is located at 20201 N SCOTTSDALE HEALTHCARE DR, SCOTTSDALE, AZ, 85255. Phone: (480) 684-1360.
What is SAMUEL BAILEY, M.D.'s NPI number?
SAMUEL BAILEY, M.D.'s National Provider Identifier (NPI) is 1396912911, issued on 05/13/2008.
Does SAMUEL BAILEY, M.D. prescribe more brand-name or generic drugs?
SAMUEL BAILEY, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $2K in brand drug costs.
Does SAMUEL BAILEY, M.D. prescribe opioids?
Yes, SAMUEL BAILEY, M.D. had 41 opioid claims in 2023 with an opioid prescribing rate of 3.5%.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does SAMUEL BAILEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SAMUEL BAILEY, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMUEL BAILEY, M.D. accept Medicare?
SAMUEL BAILEY, M.D. appears in CMS Medicare data with 1,157 Part D claims and 441 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMUEL BAILEY, M.D.'s credentials?
SAMUEL BAILEY, M.D.'s NPI is 1396912911 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