2026 NPPES data Pediatric Critical Care Medicine Physician NPI 1528322054 M.D.
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BIBEK BISTA, M.D.

Pediatric Critical Care Medicine Physician in HOUSTON, Texas. 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.
MIPS score
82.3883/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$72.54
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BIBEK BISTA, M.D. is a Pediatric Critical Care Medicine Physician ([object Object]) practicing in HOUSTON, Texas . Their CMS MIPS Final Score of 82.3883/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $72.54 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BIBEK BISTA, M.D. reported a CMS MIPS final score of 82.3883 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BIBEK BISTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BIBEK BISTA, M.D. at a glance

Near national average

NPI registry status

Active

Issued 06/29/2012

NPI 1528322054

Primary specialty

Pediatric Critical Care Medicine Physician

Niche

2,247 US NPIs in this specialty

MIPS final score

82.3883/100 0.7116999999999933% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Pediatric Critical Care Medicine Physician compares to other specialties among Texas providers

Texas providers

Pediatric Critical Care Medicine Physician share within Texas

1. Pediatric Critical Care Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Critical Care Medicine Physician share within Texas

Medicare quality performance — MIPS

BIBEK BISTA, M.D.'s 2023 MIPS final score plotted against the Pediatric Critical Care Medicine Physician national average

Near national average
MIPS Final Score
82.3883/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Critical Care Medicine Physician) — 82.3883/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Pediatric Critical Care Medicine Physician) — 82.3883/100 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).

BIBEK BISTA, M.D. is a Pediatric Critical Care Medicine Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1528322054. 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.

BIBEK BISTA, M.D. appears in the CMS NPPES registry as a Pediatric Critical Care Medicine Physician provider holding M.D. credentials at 6431 FANNIN ST, HOUSTON, TX, 77030, with a listed phone of (713) 500-5650. NPI 1528322054 was issued on 06/29/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BISTA 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Critical Care Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.3883/100 for the 2023 performance year (Quality 79.2344, Cost 58.5062), compared with the national average of 83.1.

Pediatric Critical Care Medicine Physician is a narrow specialty nationwide, with 2,247 enrolled providers across 52 states and an average of 91 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

6431 FANNIN ST
HOUSTON, TX 77030

Provider Details

NPI 1528322054
Specialty Pediatric Critical Care Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/29/2012

CMS Quality Score (MIPS)

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

82.3883
Final Score
Avg: 83.1
79.2344
Quality
58.5062
Cost
100
Promoting Interoperability

Reporting: Group practice

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 BIBEK BISTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$73

Largest payer

Mindray DS USA, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to BIBEK BISTA, M.D.. To verify BIBEK BISTA, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Critical Care Medicine Physician Overview

How BIBEK BISTA, M.D. fits within the Pediatric Critical Care Medicine Physician landscape nationally.

2,247
Pediatric Critical Care Medicine Physician Providers in US
52
States with Pediatric Critical Care Medicine Physician
91
Avg Claims per Provider

Nearby Pediatric Critical Care Medicine Physician Providers in Texas

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

Compare Pediatric Critical Care Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BIBEK BISTA, M.D.'s specialty?
BIBEK BISTA, M.D. specializes in Pediatric Critical Care Medicine Physician and practices in HOUSTON, Texas. Credentials: M.D..
What is BIBEK BISTA, M.D.'s Medicare quality score?
BIBEK BISTA, M.D. has a CMS MIPS Final Score of 82.3883/100 (Quality: 79.2344, Cost: 58.5062). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BIBEK BISTA, M.D. located?
BIBEK BISTA, M.D. is located at 6431 FANNIN ST, HOUSTON, TX, 77030. Phone: (713) 500-5650.
What is BIBEK BISTA, M.D.'s NPI number?
BIBEK BISTA, M.D.'s National Provider Identifier (NPI) is 1528322054, issued on 06/29/2012.
How many Pediatric Critical Care Medicine Physician providers are there in the US?
There are 2,247 Pediatric Critical Care Medicine Physician providers across 52 states in the US. The average Pediatric Critical Care Medicine Physician provider writes 91 Medicare Part D claims per year.
Does BIBEK BISTA, M.D. accept Medicare?
BIBEK BISTA, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BIBEK BISTA, M.D.'s credentials?
BIBEK BISTA, M.D.'s NPI is 1528322054 with credentials M.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.
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