NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1265404685 MD
Verify on CMS → Diogo Bauleth, MD
Internal Medicine Physician in Denver, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
120
Medicare Part D claims · 61 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.2/100
▼ 6 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Diogo Bauleth, MD reported a CMS MIPS final score of 77.2/100 - below the 83.5 national average - and filed 120 Medicare Part D claims in 2024.
- 77.2/100
- MIPS score · -6 vs avg
- 120
- Part D claims, 2024
- 82%
- generic prescribing
- 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.
Federal trust snapshot
What official records show about Diogo Bauleth, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1265404685), first enumerated 02/02/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 120 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1265404685 · Internal Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1265404685
- ENUM-LEGACY 2006
- TAX-MEGA 175K Internal Medicine
- MIPS-BELOW 77.2/100
- RX-LIGHT 120
- BOOK-LIGHT 2,683 in Colorado
- PHOTO-FINISH Devin Druen · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Bauleth · this p…
Bauleth · this provider
77.2 MIPS pts
- Jelena Licina · …
Jelena Licina
77.2 MIPS pts
- Devin Druen · near
Devin Druen
77.2 MIPS pts
- Tahmina Haq · near
Tahmina Haq
77.2 MIPS pts
- Brian Ihm · near
Brian Ihm
77.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Diogo Bauleth, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Diogo Bauleth, MD sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Diogo Bauleth, MD writes more Part D claims than 16% of them and scores higher on MIPS quality than 20% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Diogo Bauleth, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Diogo Bauleth, 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 Diogo Bauleth, MD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
120 96% vs specialty avg
MIPS final score
77.2/100 6.3 pts vs avg
Specialty distribution in Colorado
How Internal Medicine Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Diogo Bauleth, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 77.2/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1265404685 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/02/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.1751
Final Score
Measured-score avg: 83.5
80.2782
Quality
59.4721
Cost
81
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Diogo Bauleth, 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.
Portercare Adventist Health System
Parker, CO
Summit Medical Consultants PLLC
Greenwood Village, CO
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 · Typical
Diogo Bauleth, MD - brand share 18.0%
Internal Medicine Physician average
18% brand-name claims vs 82% generic, on 120 2024 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 2024.
120
Total Claims
$8K
Total Drug Cost
61
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 123.633
- Total Day Supply
- 2,637
- Brand vs Generic
- 18% brand / 82% generic
- Brand Drug Cost
- $7K
- Generic Drug Cost
- $1K
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 2.26
- Gender Split
- 59% female / 41% male
Internal Medicine Physician Overview
How Diogo Bauleth, MD fits within the Internal Medicine Physician landscape nationally.
174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider
Diogo Bauleth, MD's 120 claims are below the specialty average of 2,785.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bauleth, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.2 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Internal Medicine Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Bauleth.
One of 2,683 Internal Medicine Physician providers enrolled in Colorado, 5 are shown here.
Dr. Emily Aaron
MD
Denver, CO
Dr. Cynthia Abacan
MD
Pueblo, CO
David Abbey
MS MD
Fort Collins, CO
Dr. Ahmed Abdulrahman
MD
Pueblo, CO
Dr. Victor Abela
D.O.
Denver, CO
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Diogo Bauleth, MD's specialty? ▼
Diogo Bauleth, MD specializes in Internal Medicine Physician and practices in Denver, Colorado. Credentials: MD.
How much does Diogo Bauleth, MD prescribe under Medicare Part D? ▼
In 2024, Diogo Bauleth, MD wrote 120 Medicare Part D claims totaling $8K in drug costs for 61 beneficiaries.
What is Diogo Bauleth, MD's Medicare quality score? ▼
Diogo Bauleth, MD has a CMS MIPS Final Score of 77.2/100 (Quality: 80.3, Cost: 59.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Diogo Bauleth, MD located? ▼
Diogo Bauleth, MD is located at 1375 E 19TH AVE, Denver, CO, 80218. Phone: (303) 338-4545.
What is Diogo Bauleth, MD's NPI number? ▼
Diogo Bauleth, MD's National Provider Identifier (NPI) is 1265404685, issued on 02/02/2006.
Does Diogo Bauleth, MD prescribe more brand-name or generic drugs? ▼
Diogo Bauleth, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $7K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
Does Diogo Bauleth, MD accept Medicare? ▼
Diogo Bauleth, MD appears in CMS Medicare data with 120 Part D claims and 61 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Diogo Bauleth, MD's credentials? ▼
Diogo Bauleth, MD's NPI is 1265404685 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.