2026 NPPES data Internal Medicine Physician NPI 1053849182 MD
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CRAIG BAUMGART, MD

Internal Medicine Physician in OMAHA, Nebraska. 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
134
Medicare Part D claims · 44 beneficiaries · Internal Medicine Physician avg: 3K
What the federal data reveals: CRAIG BAUMGART, MD is a Internal Medicine Physician ([object Object]) practicing in OMAHA, Nebraska with a Medicare Part D prescribing footprint of 134 claims across 44 beneficiaries .

What stands out: CRAIG BAUMGART, MD filed 134 Medicare Part D claims in 2023 across OMAHA, Nebraska. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CRAIG BAUMGART, MD 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).

CRAIG BAUMGART, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/02/2017

NPI 1053849182

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

134 95% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Nebraska

How Internal Medicine Physician compares to other specialties among Nebraska providers

Nebraska providers

Internal Medicine Physician share within Nebraska

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

Specialty board-certification context

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

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

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

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

CRAIG BAUMGART, MD is a Internal Medicine Physician provider practicing in OMAHA, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053849182. 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.

CRAIG BAUMGART, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at EMILE @ 42ND ST, OMAHA, NE, 68198, with a listed phone of (402) 552-6731. NPI 1053849182 was issued on 06/02/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMGART 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 134 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $12K in drug spend. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

EMILE @ 42ND ST
OMAHA, NE 68198

Provider Details

NPI 1053849182
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/02/2017

Hospital and facility affiliations

Facilities where CRAIG BAUMGART, 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.

UNMC PHYSICIANS
OMAHA, NE

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.

134
Total Claims
$12K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
200
Total Day Supply
4,687
Generic Drug Cost
$3K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
3.58
Gender Split
61% female / 39% male
Age Distribution
<65: 14, 65-74: 13, 75-84: N/A, 85+: N/A

Internal Medicine Physician Overview

How CRAIG BAUMGART, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

CRAIG BAUMGART, MD's 134 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Nebraska

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

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

Frequently Asked Questions

What is CRAIG BAUMGART, MD's specialty?
CRAIG BAUMGART, MD specializes in Internal Medicine Physician and practices in OMAHA, Nebraska. Credentials: MD.
How much does CRAIG BAUMGART, MD prescribe under Medicare Part D?
In 2023, CRAIG BAUMGART, MD wrote 134 Medicare Part D claims totaling $12K in drug costs for 44 beneficiaries.
Where is CRAIG BAUMGART, MD located?
CRAIG BAUMGART, MD is located at EMILE @ 42ND ST, OMAHA, NE, 68198. Phone: (402) 552-6731.
What is CRAIG BAUMGART, MD's NPI number?
CRAIG BAUMGART, MD's National Provider Identifier (NPI) is 1053849182, issued on 06/02/2017.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
Does CRAIG BAUMGART, MD accept Medicare?
CRAIG BAUMGART, MD appears in CMS Medicare data with 134 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG BAUMGART, MD's credentials?
CRAIG BAUMGART, MD's NPI is 1053849182 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