2026 NPPES data Cardiovascular Disease Physician NPI 1285168658 D.O.
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SOM BAILEY, D.O.

Cardiovascular Disease Physician in MOUNT VERNON, Ohio. 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
17
Medicare Part D claims · 15 beneficiaries · Cardiovascular Disease Physician avg: 3K
Industry payments
$53.4K
42 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SOM BAILEY, D.O. is a Cardiovascular Disease Physician ([object Object]) practicing in MOUNT VERNON, Ohio with a Medicare Part D prescribing footprint of 17 claims across 15 beneficiaries . Industry payments of $53.4K across 42 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SOM BAILEY, D.O. filed 17 Medicare Part D claims in 2023 across MOUNT VERNON, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SOM BAILEY, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SOM BAILEY, D.O. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/12/2017

NPI 1285168658

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

17 99% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in Ohio

How Cardiovascular Disease Physician compares to other specialties among Ohio providers

Ohio providers

Cardiovascular Disease Physician share within Ohio

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Cardiovascular Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cardiovascular Disease Physician ABMS/AOA estimate

Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

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).

SOM BAILEY, D.O. is a Cardiovascular Disease Physician provider practicing in MOUNT VERNON, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1285168658. 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.

SOM BAILEY, D.O. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding D.O. credentials at 1330 COSHOCTON AVE, MOUNT VERNON, OH, 43050, with a listed phone of (740) 393-9000. NPI 1285168658 was issued on 04/12/2017. 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 17 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $2K 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.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1330 COSHOCTON AVE
MOUNT VERNON, OH 43050

Provider Details

NPI 1285168658
Specialty Cardiovascular Disease Physician
Credentials D.O.
Gender Male
NPI Issued 04/12/2017

Hospital and facility affiliations

Facilities where SOM BAILEY, D.O. 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.

KNOX COMMUNITY HOSPITAL
★★★☆☆ 3/5
MOUNT VERNON, OH
Acute Care Hospitals
CMS CCN: 360040

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 SOM BAILEY, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$53.4K

Largest payer

Medtronic, 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.

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to SOM BAILEY, D.O.. To verify SOM BAILEY, D.O.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio 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.

17
Total Claims
$2K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20
Total Day Supply
600
Generic Drug Cost
$185

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
2.92

Cardiovascular Disease Physician Overview

How SOM BAILEY, D.O. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

SOM BAILEY, D.O.'s 17 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Ohio

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SOM BAILEY, D.O.'s specialty?
SOM BAILEY, D.O. specializes in Cardiovascular Disease Physician and practices in MOUNT VERNON, Ohio. Credentials: D.O..
How much does SOM BAILEY, D.O. prescribe under Medicare Part D?
In 2023, SOM BAILEY, D.O. wrote 17 Medicare Part D claims totaling $2K in drug costs for 15 beneficiaries.
Where is SOM BAILEY, D.O. located?
SOM BAILEY, D.O. is located at 1330 COSHOCTON AVE, MOUNT VERNON, OH, 43050. Phone: (740) 393-9000.
What is SOM BAILEY, D.O.'s NPI number?
SOM BAILEY, D.O.'s National Provider Identifier (NPI) is 1285168658, issued on 04/12/2017.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
Does SOM BAILEY, D.O. accept Medicare?
SOM BAILEY, D.O. appears in CMS Medicare data with 17 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SOM BAILEY, D.O.'s credentials?
SOM BAILEY, D.O.'s NPI is 1285168658 with credentials D.O.. 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.
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