2026 NPPES data Family Medicine Physician NPI 1952325094 MD
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THOMAS BAILEY, MD

Family Medicine Physician in LOUISVILLE, Kentucky. 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
12K
Medicare Part D claims · 461 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.7485/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$1.5K
79 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS BAILEY, MD reported a CMS MIPS final score of 73.7485/100 — below the 83.1 national average — and filed 11,562 Medicare Part D claims in 2023.

73.7485/100
MIPS score · -9 vs avg
12K
Part D claims, 2023
88%
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.

THOMAS BAILEY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

74 11th percentile higher than 11% 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%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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)

THOMAS BAILEY, 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 THOMAS BAILEY, MD?

Below national average

NPI registry status

Active

Issued 07/26/2006

NPI 1952325094

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

11,562 238% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

73.7485/100 9.351499999999987% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Family Medicine Physician share within Kentucky

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
73.7485/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 73.7485/100 vs national avg 83.1

0%100%National avg83%73.7%
MIPS final score (Family Medicine Physician) — 73.7485/100 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).

THOMAS BAILEY, MD is a Family Medicine Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1952325094. 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.

THOMAS BAILEY, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2401 TERRA CROSSING BLVD STE 402, LOUISVILLE, KY, 40245, with a listed phone of (502) 210-4530. NPI 1952325094 was issued on 07/26/2006. 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 11,562 prescription claims written by this provider, covering 461 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.0%. 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 73.7485/100 for the 2023 performance year (Quality 93.1493, Cost 27.6791), 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

2401 TERRA CROSSING BLVD STE 402
LOUISVILLE, KY 40245

Provider Details

NPI 1952325094
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/26/2006

CMS Quality Score (MIPS)

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

73.7485
Final Score
Avg: 83.1
93.1493
Quality
27.6791
Cost
90
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where THOMAS 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.

UNIVERSITY OF LOUISVILLE PHYSICIANS INC
LOUISVILLE, KY

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

Total received

$1.5K

Largest payer

AstraZeneca Pharmaceuticals LP

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 · Typical

THOMAS BAILEY, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 11,562 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.

11,562
Total Claims
$1.2M
Total Drug Cost
461
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,701
Total Day Supply
583,958
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$992K
Generic Drug Cost
$179K
Opioid Claims
347 (3.0% rate)
Antibiotic Claims
335

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
0.98
Gender Split
55% female / 45% male
Age Distribution
<65: 40, 65-74: 243, 75-84: 115, 85+: 63

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
522
Lisinopril
486
Amlodipine Besylate
443
Levothyroxine Sodium
405
Metoprolol Succinate
395
Metformin Hcl
340
Omeprazole
290
Furosemide
288
Meloxicam
197
Allopurinol
191

* 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 THOMAS BAILEY, 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

THOMAS BAILEY, MD's 11,562 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is THOMAS BAILEY, MD's specialty?
THOMAS BAILEY, MD specializes in Family Medicine Physician and practices in LOUISVILLE, Kentucky. Credentials: MD.
How much does THOMAS BAILEY, MD prescribe under Medicare Part D?
In 2023, THOMAS BAILEY, MD wrote 11,562 Medicare Part D claims totaling $1.2M in drug costs for 461 beneficiaries.
What is THOMAS BAILEY, MD's Medicare quality score?
THOMAS BAILEY, MD has a CMS MIPS Final Score of 73.7485/100 (Quality: 93.1493, Cost: 27.6791). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS BAILEY, MD located?
THOMAS BAILEY, MD is located at 2401 TERRA CROSSING BLVD STE 402, LOUISVILLE, KY, 40245. Phone: (502) 210-4530.
What is THOMAS BAILEY, MD's NPI number?
THOMAS BAILEY, MD's National Provider Identifier (NPI) is 1952325094, issued on 07/26/2006.
Does THOMAS BAILEY, MD prescribe more brand-name or generic drugs?
THOMAS BAILEY, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $992K in brand drug costs.
Does THOMAS BAILEY, MD prescribe opioids?
Yes, THOMAS BAILEY, MD had 347 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
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 THOMAS BAILEY, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS BAILEY, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS BAILEY, MD accept Medicare?
THOMAS BAILEY, MD appears in CMS Medicare data with 11,562 Part D claims and 461 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS BAILEY, MD's credentials?
THOMAS BAILEY, MD's NPI is 1952325094 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