2026 NPPES data Emergency Medicine Physician NPI 1396051561 MD
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BENJAMIN GENESIS BAUTISTA, MD

Emergency Medicine Physician in OSHKOSH, Wisconsin. 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
68
Medicare Part D claims · 49 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
82.7791/100
▼ 0 pts below national avg 83.1 · [object Object]

What the federal data shows

BENJAMIN GENESIS BAUTISTA, MD reported a CMS MIPS final score of 82.7791/100 — below the 83.1 national average — and filed 68 Medicare Part D claims in 2023.

82.7791/100
MIPS score · 0 vs avg
68
Part D claims, 2023
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.

BENJAMIN GENESIS BAUTISTA, MD's MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

BENJAMIN GENESIS BAUTISTA, 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 BENJAMIN GENESIS BAUTISTA, MD?

Near national average

NPI registry status

Active

Issued 08/26/2010

NPI 1396051561

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

68 81% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

82.7791/100 0.32089999999999463% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Emergency Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Emergency Medicine Physician share within Wisconsin

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

Medicare quality performance — MIPS

BENJAMIN GENESIS BAUTISTA, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Near national average
MIPS Final Score
82.7791/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 82.7791/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Emergency Medicine Physician) — 82.7791/100 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).

BENJAMIN GENESIS BAUTISTA, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 855 N WESTHAVEN DR, OSHKOSH, WI, 54904, with a listed phone of (920) 456-7400. NPI 1396051561 was issued on 08/26/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUTISTA 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 68 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $892 in drug spend, with an opioid prescribing rate of 19.1%. 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 82.7791/100 for the 2023 performance year (Quality 85.3615, Cost 57.2354), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

855 N WESTHAVEN DR
OSHKOSH, WI 54904

Provider Details

NPI 1396051561
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/26/2010

CMS Quality Score (MIPS)

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

82.7791
Final Score
Avg: 83.1
85.3615
Quality
57.2354
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BENJAMIN GENESIS BAUTISTA, 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.

EMERGENCY MEDICINE SPECIALISTS SC
NEENAH, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

68
Total Claims
$892
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
68
Total Day Supply
457
Generic Drug Cost
$586
Opioid Claims
13 (19.1% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
66.0 years
Avg HCC Risk Score
1.35
Gender Split
63% female / 37% male
Age Distribution
<65: 16, 65-74: 16, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12
Ondansetron Odt
Ondansetron
12

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

Emergency Medicine Physician Overview

How BENJAMIN GENESIS BAUTISTA, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

BENJAMIN GENESIS BAUTISTA, MD's 68 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is BENJAMIN GENESIS BAUTISTA, MD's specialty?
BENJAMIN GENESIS BAUTISTA, MD specializes in Emergency Medicine Physician and practices in OSHKOSH, Wisconsin. Credentials: MD.
How much does BENJAMIN GENESIS BAUTISTA, MD prescribe under Medicare Part D?
In 2023, BENJAMIN GENESIS BAUTISTA, MD wrote 68 Medicare Part D claims totaling $892 in drug costs for 49 beneficiaries.
What is BENJAMIN GENESIS BAUTISTA, MD's Medicare quality score?
BENJAMIN GENESIS BAUTISTA, MD has a CMS MIPS Final Score of 82.7791/100 (Quality: 85.3615, Cost: 57.2354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN GENESIS BAUTISTA, MD located?
BENJAMIN GENESIS BAUTISTA, MD is located at 855 N WESTHAVEN DR, OSHKOSH, WI, 54904. Phone: (920) 456-7400.
What is BENJAMIN GENESIS BAUTISTA, MD's NPI number?
BENJAMIN GENESIS BAUTISTA, MD's National Provider Identifier (NPI) is 1396051561, issued on 08/26/2010.
Does BENJAMIN GENESIS BAUTISTA, MD prescribe opioids?
Yes, BENJAMIN GENESIS BAUTISTA, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 19.1%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does BENJAMIN GENESIS BAUTISTA, MD prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN GENESIS BAUTISTA, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN GENESIS BAUTISTA, MD accept Medicare?
BENJAMIN GENESIS BAUTISTA, MD appears in CMS Medicare data with 68 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN GENESIS BAUTISTA, MD's credentials?
BENJAMIN GENESIS BAUTISTA, MD's NPI is 1396051561 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