2026 NPPES data Optometrist NPI 1215014535 O.D.
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ANTHONY BAUMGARTNER, O.D.

Optometrist in BUTTE, Montana. 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
187
Medicare Part D claims · 64 beneficiaries · Optometrist avg: 257
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ANTHONY BAUMGARTNER, O.D. is a Optometrist ([object Object]) practicing in BUTTE, Montana with a Medicare Part D prescribing footprint of 187 claims across 64 beneficiaries — 37% brand-name prescribing .

What stands out: ANTHONY BAUMGARTNER, O.D. filed 187 Medicare Part D claims in 2023 across BUTTE, Montana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ANTHONY BAUMGARTNER, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 11/01/2006

NPI 1215014535

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

187 27% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Montana

How Optometrist compares to other specialties among Montana providers

Montana providers

Optometrist share within Montana

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Montana

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

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

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — 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).

ANTHONY BAUMGARTNER, O.D. is a Optometrist provider practicing in BUTTE, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1215014535. 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.

ANTHONY BAUMGARTNER, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 800 SAMPSON ST, BUTTE, MT, 59701, with a listed phone of (406) 494-1700. NPI 1215014535 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMGARTNER 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 187 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $4K in drug spend, split 37% brand-name and 63% 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.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

800 SAMPSON ST
BUTTE, MT 59701

Provider Details

NPI 1215014535
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 11/01/2006

Brand vs generic prescribing mix · Above average

ANTHONY BAUMGARTNER, O.D. — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 187 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.

187
Total Claims
$4K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
306
Total Day Supply
8,017
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$2K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.05
Gender Split
55% female / 45% 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
Latanoprost
93
Prednisolone Acetate
22
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
20
Timolol Maleate
20

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

Optometrist Overview

How ANTHONY BAUMGARTNER, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

ANTHONY BAUMGARTNER, O.D.'s 187 claims are below the specialty average of 257.

Nearby Optometrist Providers in Montana

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

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY BAUMGARTNER, O.D.'s specialty?
ANTHONY BAUMGARTNER, O.D. specializes in Optometrist and practices in BUTTE, Montana. Credentials: O.D..
How much does ANTHONY BAUMGARTNER, O.D. prescribe under Medicare Part D?
In 2023, ANTHONY BAUMGARTNER, O.D. wrote 187 Medicare Part D claims totaling $4K in drug costs for 64 beneficiaries.
Where is ANTHONY BAUMGARTNER, O.D. located?
ANTHONY BAUMGARTNER, O.D. is located at 800 SAMPSON ST, BUTTE, MT, 59701. Phone: (406) 494-1700.
What is ANTHONY BAUMGARTNER, O.D.'s NPI number?
ANTHONY BAUMGARTNER, O.D.'s National Provider Identifier (NPI) is 1215014535, issued on 11/01/2006.
Does ANTHONY BAUMGARTNER, O.D. prescribe more brand-name or generic drugs?
ANTHONY BAUMGARTNER, O.D.'s prescribing is 37% brand-name and 63% generic drugs by claim count, with $2K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does ANTHONY BAUMGARTNER, O.D. prescribe most often?
Based on 2023 Medicare Part D data, ANTHONY BAUMGARTNER, O.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTHONY BAUMGARTNER, O.D. accept Medicare?
ANTHONY BAUMGARTNER, O.D. appears in CMS Medicare data with 187 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY BAUMGARTNER, O.D.'s credentials?
ANTHONY BAUMGARTNER, O.D.'s NPI is 1215014535 with credentials O.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.
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