2026 NPPES data Emergency Medicine Physician NPI 1962816561 DO
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BRETT BAUMGARTNER, DO

Emergency Medicine Physician in CEDAR CITY, Utah. 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
174
Medicare Part D claims · 134 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: BRETT BAUMGARTNER, DO is a Emergency Medicine Physician ([object Object]) practicing in CEDAR CITY, Utah with a Medicare Part D prescribing footprint of 174 claims across 134 beneficiaries — 7% brand-name prescribing .

What stands out: BRETT BAUMGARTNER, DO filed 174 Medicare Part D claims in 2023 across CEDAR CITY, Utah. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BRETT BAUMGARTNER, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BRETT BAUMGARTNER, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 06/12/2014

NPI 1962816561

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

174 51% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Utah

How Emergency Medicine Physician compares to other specialties among Utah providers

Utah providers

Emergency Medicine Physician share within Utah

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

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — 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).

BRETT BAUMGARTNER, DO is a Emergency Medicine Physician provider practicing in CEDAR CITY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1962816561. 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.

BRETT BAUMGARTNER, DO appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding DO credentials at 1303 N MAIN ST, CEDAR CITY, UT, 84721, with a listed phone of (435) 868-5251. NPI 1962816561 was issued on 06/12/2014. 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 174 prescription claims written by this provider, covering 134 Medicare beneficiaries and totaling roughly $7K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 8.6%. 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.

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

1303 N MAIN ST
CEDAR CITY, UT 84721

Provider Details

NPI 1962816561
Specialty Emergency Medicine Physician
Credentials DO
Gender Male
NPI Issued 06/12/2014

Hospital and facility affiliations

Facilities where BRETT BAUMGARTNER, DO 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.

IHC HEALTH SERVICES INC
CEDAR CITY, UT

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

Brand vs generic prescribing mix · Generic-heavy

BRETT BAUMGARTNER, DO — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 174 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.

174
Total Claims
$7K
Total Drug Cost
134
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
174
Total Day Supply
1,429
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$6K
Generic Drug Cost
$933
Opioid Claims
15 (8.6% rate)
Antibiotic Claims
91

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.60
Gender Split
56% female / 44% male
Age Distribution
<65: 31, 65-74: 41, 75-84: 48, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
36
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12
Eliquis
Apixaban
11
Prednisone
11

* 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 BRETT BAUMGARTNER, DO 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

BRETT BAUMGARTNER, DO's 174 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Utah

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

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

Frequently Asked Questions

What is BRETT BAUMGARTNER, DO's specialty?
BRETT BAUMGARTNER, DO specializes in Emergency Medicine Physician and practices in CEDAR CITY, Utah. Credentials: DO.
How much does BRETT BAUMGARTNER, DO prescribe under Medicare Part D?
In 2023, BRETT BAUMGARTNER, DO wrote 174 Medicare Part D claims totaling $7K in drug costs for 134 beneficiaries.
Where is BRETT BAUMGARTNER, DO located?
BRETT BAUMGARTNER, DO is located at 1303 N MAIN ST, CEDAR CITY, UT, 84721. Phone: (435) 868-5251.
What is BRETT BAUMGARTNER, DO's NPI number?
BRETT BAUMGARTNER, DO's National Provider Identifier (NPI) is 1962816561, issued on 06/12/2014.
Does BRETT BAUMGARTNER, DO prescribe more brand-name or generic drugs?
BRETT BAUMGARTNER, DO's prescribing is 7% brand-name and 93% generic drugs by claim count, with $6K in brand drug costs.
Does BRETT BAUMGARTNER, DO prescribe opioids?
Yes, BRETT BAUMGARTNER, DO had 15 opioid claims in 2023 with an opioid prescribing rate of 8.6%.
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 BRETT BAUMGARTNER, DO prescribe most often?
Based on 2023 Medicare Part D data, BRETT BAUMGARTNER, DO's most frequently prescribed drugs include Cephalexin, Amoxicillin-Clavulanate Potass, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRETT BAUMGARTNER, DO accept Medicare?
BRETT BAUMGARTNER, DO appears in CMS Medicare data with 174 Part D claims and 134 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRETT BAUMGARTNER, DO's credentials?
BRETT BAUMGARTNER, DO's NPI is 1962816561 with credentials DO. 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