2026 NPPES data Ophthalmology Physician NPI 1225011075 M.D., F.A.A.O.
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STEPHEN BAYNHAM, M.D., F.A.A.O.

Ophthalmology Physician in MONROE, 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
3K
Medicare Part D claims · 667 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.3203/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$316.86
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: STEPHEN BAYNHAM, M.D., F.A.A.O. is a Ophthalmology Physician ([object Object]) practicing in MONROE, Georgia with a Medicare Part D prescribing footprint of 3K claims across 667 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 92.3203/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $316.86 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: STEPHEN BAYNHAM, M.D., F.A.A.O. reported a CMS MIPS final score of 92.3203 out of 100, above the 83.1 national average, and filed 2,741 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)

STEPHEN BAYNHAM, M.D., F.A.A.O. 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).

STEPHEN BAYNHAM, M.D., F.A.A.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/25/2005

NPI 1225011075

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,741 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

92.3203/100 9.220300000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

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

Medicare quality performance — MIPS

STEPHEN BAYNHAM, M.D., F.A.A.O.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
92.3203/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 92.3203/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Ophthalmology Physician) — 92.3203/100 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).

STEPHEN BAYNHAM, M.D., F.A.A.O. is a Ophthalmology Physician provider practicing in MONROE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., F.A.A.O.. NPI: 1225011075. 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.

STEPHEN BAYNHAM, M.D., F.A.A.O. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D., F.A.A.O. credentials at 517 GREAT OAKS DR, MONROE, GA, 30655, with a listed phone of (770) 267-4561. NPI 1225011075 was issued on 11/25/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAYNHAM 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 2,741 prescription claims written by this provider, covering 667 Medicare beneficiaries and totaling roughly $127K in drug spend, split 30% brand-name and 70% 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 92.3203/100 for the 2023 performance year (Quality 84.6407), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

517 GREAT OAKS DR
MONROE, GA 30655

Provider Details

NPI 1225011075
Specialty Ophthalmology Physician
Credentials M.D., F.A.A.O.
Gender Male
NPI Issued 11/25/2005

CMS Quality Score (MIPS)

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

92.3203
Final Score
Avg: 83.1
84.6407
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where STEPHEN BAYNHAM, M.D., F.A.A.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.

WALTON EYE CARE, INC.
MONROE, 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 STEPHEN BAYNHAM, M.D., F.A.A.O.. Source: openpaymentsdata.cms.gov.

Total received

$317

Largest payer

Alcon Vision 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 · Above average

STEPHEN BAYNHAM, M.D., F.A.A.O. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 2,741 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.

2,741
Total Claims
$127K
Total Drug Cost
667
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,877
Total Day Supply
96,498
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$84K
Generic Drug Cost
$43K
Antibiotic Claims
98

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.27
Gender Split
62% female / 38% male
Age Distribution
<65: 34, 65-74: 333, 75-84: 244, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
1,174
Prednisolone Acetate
409
Moxifloxacin
Moxifloxacin Hcl
337
Timolol Maleate
160
Erythromycin
Erythromycin Base
115
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
95
Cephalexin
77
Diazepam
44
Ketorolac Tromethamine
40
Lumigan
Bimatoprost
38

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

Ophthalmology Physician Overview

How STEPHEN BAYNHAM, M.D., F.A.A.O. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

STEPHEN BAYNHAM, M.D., F.A.A.O.'s 2,741 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is STEPHEN BAYNHAM, M.D., F.A.A.O.'s specialty?
STEPHEN BAYNHAM, M.D., F.A.A.O. specializes in Ophthalmology Physician and practices in MONROE, Georgia. Credentials: M.D., F.A.A.O..
How much does STEPHEN BAYNHAM, M.D., F.A.A.O. prescribe under Medicare Part D?
In 2023, STEPHEN BAYNHAM, M.D., F.A.A.O. wrote 2,741 Medicare Part D claims totaling $127K in drug costs for 667 beneficiaries.
What is STEPHEN BAYNHAM, M.D., F.A.A.O.'s Medicare quality score?
STEPHEN BAYNHAM, M.D., F.A.A.O. has a CMS MIPS Final Score of 92.3203/100 (Quality: 84.6407). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEPHEN BAYNHAM, M.D., F.A.A.O. located?
STEPHEN BAYNHAM, M.D., F.A.A.O. is located at 517 GREAT OAKS DR, MONROE, GA, 30655. Phone: (770) 267-4561.
What is STEPHEN BAYNHAM, M.D., F.A.A.O.'s NPI number?
STEPHEN BAYNHAM, M.D., F.A.A.O.'s National Provider Identifier (NPI) is 1225011075, issued on 11/25/2005.
Does STEPHEN BAYNHAM, M.D., F.A.A.O. prescribe more brand-name or generic drugs?
STEPHEN BAYNHAM, M.D., F.A.A.O.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $84K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does STEPHEN BAYNHAM, M.D., F.A.A.O. prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN BAYNHAM, M.D., F.A.A.O.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN BAYNHAM, M.D., F.A.A.O. accept Medicare?
STEPHEN BAYNHAM, M.D., F.A.A.O. appears in CMS Medicare data with 2,741 Part D claims and 667 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN BAYNHAM, M.D., F.A.A.O.'s credentials?
STEPHEN BAYNHAM, M.D., F.A.A.O.'s NPI is 1225011075 with credentials M.D., F.A.A.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.
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