2026 NPPES data Otolaryngology Physician NPI 1538260120 MD
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CRAIG BUCHMAN, MD

Otolaryngology Physician in SAINT LOUIS, Missouri. 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
78
Medicare Part D claims · 40 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$25.7K
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CRAIG BUCHMAN, MD reported a CMS MIPS final score of 79.292/100 — below the 83.1 national average — and filed 78 Medicare Part D claims in 2023.

79.292/100
MIPS score · -4 vs avg
78
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.

CRAIG BUCHMAN, MD's MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

CRAIG BUCHMAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 CRAIG BUCHMAN, MD?

Near national average

NPI registry status

Active

Issued 09/26/2006

NPI 1538260120

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

78 85% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Otolaryngology Physician compares to other specialties among Missouri providers

Missouri providers

Otolaryngology Physician share within Missouri

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

Medicare quality performance — MIPS

CRAIG BUCHMAN, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Otolaryngology Physician) — 79.292/100 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).

CRAIG BUCHMAN, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110, with a listed phone of (314) 362-7509. NPI 1538260120 was issued on 09/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUCHMAN 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 78 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $4K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

4921 PARKVIEW PL
SAINT LOUIS, MO 63110

Provider Details

NPI 1538260120
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 09/26/2006

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CRAIG BUCHMAN, 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.

UNIVERSITY OF UTAH ADULT SERVICES
SALT LAKE CITY, UT
WASHINGTON UNIVERSITY
SAINT LOUIS, MO

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 CRAIG BUCHMAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$25.7K

Largest payer

Cochlear Americas

Most common payment type

Travel and Lodging

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.

Medicare Part D Prescribing Data

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

78
Total Claims
$4K
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
116
Total Day Supply
2,611
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.21
Gender Split
48% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

What CRAIG BUCHMAN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
23
Ofloxacin
15
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
12

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

Otolaryngology Physician Overview

How CRAIG BUCHMAN, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

CRAIG BUCHMAN, MD's 78 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Missouri

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG BUCHMAN, MD's specialty?
CRAIG BUCHMAN, MD specializes in Otolaryngology Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does CRAIG BUCHMAN, MD prescribe under Medicare Part D?
In 2023, CRAIG BUCHMAN, MD wrote 78 Medicare Part D claims totaling $4K in drug costs for 40 beneficiaries.
What is CRAIG BUCHMAN, MD's Medicare quality score?
CRAIG BUCHMAN, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRAIG BUCHMAN, MD located?
CRAIG BUCHMAN, MD is located at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110. Phone: (314) 362-7509.
What is CRAIG BUCHMAN, MD's NPI number?
CRAIG BUCHMAN, MD's National Provider Identifier (NPI) is 1538260120, issued on 09/26/2006.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does CRAIG BUCHMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, CRAIG BUCHMAN, MD's most frequently prescribed drugs include Triamterene-Hydrochlorothiazid, Ofloxacin, Ciprofloxacin-Dexamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG BUCHMAN, MD accept Medicare?
CRAIG BUCHMAN, MD appears in CMS Medicare data with 78 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG BUCHMAN, MD's credentials?
CRAIG BUCHMAN, MD's NPI is 1538260120 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