2026 NPPES data Specialist NPI 1891759106 MD
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CAROLINE BAUMAL, MD

Specialist in BOSTON, Massachusetts. 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
73
Medicare Part D claims · 25 beneficiaries · Specialist avg: 1K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$657.17
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CAROLINE BAUMAL, MD is a Specialist ([object Object]) practicing in BOSTON, Massachusetts with a Medicare Part D prescribing footprint of 73 claims across 25 beneficiaries — 48% brand-name prescribing . Industry payments of $657.17 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CAROLINE BAUMAL, MD filed 73 Medicare Part D claims in 2023 across BOSTON, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CAROLINE BAUMAL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/13/2006

NPI 1891759106

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

73 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Massachusetts

How Specialist compares to other specialties among Massachusetts providers

Massachusetts providers

Specialist share within Massachusetts

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Massachusetts

Specialty board-certification context

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

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

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

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

CAROLINE BAUMAL, MD is a Specialist provider practicing in BOSTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1891759106. 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.

CAROLINE BAUMAL, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 260 TREMONT ST, BOSTON, MA, 02116, with a listed phone of (617) 636-1486. NPI 1891759106 was issued on 04/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMAL 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 73 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $6K in drug spend, split 48% brand-name and 52% 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

260 TREMONT ST
BOSTON, MA 02116

Provider Details

NPI 1891759106
Specialty Specialist
Credentials MD
Gender Female
NPI Issued 04/13/2006

Hospital and facility affiliations

Facilities where CAROLINE BAUMAL, 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.

NEWTON WELLESLEY EYE ASSOCIATES PC
WELLESLEY, MA

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 CAROLINE BAUMAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$657

Largest payer

Regeneron Pharmaceuticals, 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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to CAROLINE BAUMAL, MD. To verify CAROLINE BAUMAL, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

CAROLINE BAUMAL, MD — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 73 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.

73
Total Claims
$6K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
3,131
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$4K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
78.1 years
Avg HCC Risk Score
1.40
Gender Split
56% female / 44% 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
Prednisolone Acetate
11

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

Specialist Overview

How CAROLINE BAUMAL, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

CAROLINE BAUMAL, MD's 73 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Massachusetts

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

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

Frequently Asked Questions

What is CAROLINE BAUMAL, MD's specialty?
CAROLINE BAUMAL, MD specializes in Specialist and practices in BOSTON, Massachusetts. Credentials: MD.
How much does CAROLINE BAUMAL, MD prescribe under Medicare Part D?
In 2023, CAROLINE BAUMAL, MD wrote 73 Medicare Part D claims totaling $6K in drug costs for 25 beneficiaries.
Where is CAROLINE BAUMAL, MD located?
CAROLINE BAUMAL, MD is located at 260 TREMONT ST, BOSTON, MA, 02116. Phone: (617) 636-1486.
What is CAROLINE BAUMAL, MD's NPI number?
CAROLINE BAUMAL, MD's National Provider Identifier (NPI) is 1891759106, issued on 04/13/2006.
Does CAROLINE BAUMAL, MD prescribe more brand-name or generic drugs?
CAROLINE BAUMAL, MD's prescribing is 48% brand-name and 52% generic drugs by claim count, with $4K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does CAROLINE BAUMAL, MD prescribe most often?
Based on 2023 Medicare Part D data, CAROLINE BAUMAL, MD's most frequently prescribed drugs include Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLINE BAUMAL, MD accept Medicare?
CAROLINE BAUMAL, MD appears in CMS Medicare data with 73 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINE BAUMAL, MD's credentials?
CAROLINE BAUMAL, MD's NPI is 1891759106 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.
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