2026 NPPES data Otolaryngology Physician NPI 1316174303 MD
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SARAH BAILEY, MD

Otolaryngology Physician in ATHENS, Georgia. 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
473
Medicare Part D claims · 120 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$115.28
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SARAH BAILEY, MD is a Otolaryngology Physician ([object Object]) practicing in ATHENS, Georgia with a Medicare Part D prescribing footprint of 473 claims across 120 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $115.28 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SARAH BAILEY, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 473 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)

SARAH BAILEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SARAH BAILEY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/17/2009

NPI 1316174303

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

473 7% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Otolaryngology Physician compares to other specialties among Georgia providers

Georgia providers

Otolaryngology Physician share within Georgia

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

Medicare quality performance — MIPS

SARAH BAILEY, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

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

MIPS final score (Otolaryngology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Otolaryngology Physician) — 100/100 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).

SARAH BAILEY, MD is a Otolaryngology Physician provider practicing in ATHENS, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1316174303. 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.

SARAH BAILEY, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 150 NACOOCHEE AVE, ATHENS, GA, 30601, with a listed phone of (706) 546-7908. NPI 1316174303 was issued on 06/17/2009. 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 473 prescription claims written by this provider, covering 120 Medicare beneficiaries and totaling roughly $17K in drug spend, split 6% brand-name and 94% 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

150 NACOOCHEE AVE
ATHENS, GA 30601

Provider Details

NPI 1316174303
Specialty Otolaryngology Physician
Credentials MD
Gender Female
NPI Issued 06/17/2009

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where SARAH 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.

ATLANTA ALLERGY AND OTOLARYNGOLOGY CENTER, LLC
ATHENS, GA
ENT OF ATHENS, LLC
ATHENS, GA

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 SARAH BAILEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$115

Largest payer

AERIN MEDICAL INC.

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

SARAH BAILEY, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 473 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.

473
Total Claims
$17K
Total Drug Cost
120
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
621
Total Day Supply
15,859
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$6K
Generic Drug Cost
$11K
Antibiotic Claims
68

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.16
Gender Split
68% female / 33% 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
Azelastine Hcl
66
Fluticasone Propionate
63
Mupirocin
58
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
40
Famotidine
37
Ipratropium Bromide
37
Montelukast Sodium
15

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

Otolaryngology Physician Overview

How SARAH BAILEY, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

SARAH BAILEY, MD's 473 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Georgia

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SARAH BAILEY, MD's specialty?
SARAH BAILEY, MD specializes in Otolaryngology Physician and practices in ATHENS, Georgia. Credentials: MD.
How much does SARAH BAILEY, MD prescribe under Medicare Part D?
In 2023, SARAH BAILEY, MD wrote 473 Medicare Part D claims totaling $17K in drug costs for 120 beneficiaries.
What is SARAH BAILEY, MD's Medicare quality score?
SARAH BAILEY, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SARAH BAILEY, MD located?
SARAH BAILEY, MD is located at 150 NACOOCHEE AVE, ATHENS, GA, 30601. Phone: (706) 546-7908.
What is SARAH BAILEY, MD's NPI number?
SARAH BAILEY, MD's National Provider Identifier (NPI) is 1316174303, issued on 06/17/2009.
Does SARAH BAILEY, MD prescribe more brand-name or generic drugs?
SARAH BAILEY, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $6K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does SARAH BAILEY, MD prescribe most often?
Based on 2023 Medicare Part D data, SARAH BAILEY, MD's most frequently prescribed drugs include Azelastine Hcl, Fluticasone Propionate, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARAH BAILEY, MD accept Medicare?
SARAH BAILEY, MD appears in CMS Medicare data with 473 Part D claims and 120 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARAH BAILEY, MD's credentials?
SARAH BAILEY, MD's NPI is 1316174303 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