2026 NPPES data Hematology & Oncology Physician NPI 1528191723 MD
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EDGARD BADINE, MD

Hematology & Oncology Physician in APPLETON, Wisconsin. 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
535
Medicare Part D claims · 194 beneficiaries · Hematology & Oncology Physician avg: 847
MIPS score
94.6154/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: EDGARD BADINE, MD is a Hematology & Oncology Physician ([object Object]) practicing in APPLETON, Wisconsin with a Medicare Part D prescribing footprint of 535 claims across 194 beneficiaries . Their CMS MIPS Final Score of 94.6154/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: EDGARD BADINE, MD reported a CMS MIPS final score of 94.6154 out of 100, above the 83.1 national average, and filed 535 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDGARD BADINE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EDGARD BADINE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/14/2007

NPI 1528191723

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

535 37% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

94.6154/100 11.5154% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Hematology & Oncology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hematology & Oncology Physician share within Wisconsin

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Wisconsin

Medicare quality performance — MIPS

EDGARD BADINE, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

High performer (top quartile)
MIPS Final Score
94.6154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 94.6154/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Hematology & Oncology Physician) — 94.6154/100 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).

EDGARD BADINE, MD is a Hematology & Oncology Physician provider practicing in APPLETON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1528191723. 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.

EDGARD BADINE, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 1818 N MEADE ST, APPLETON, WI, 54911, with a listed phone of (920) 735-7300. NPI 1528191723 was issued on 03/14/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BADINE 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 535 prescription claims written by this provider, covering 194 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, with an opioid prescribing rate of 11.0%. 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 94.6154/100 for the 2023 performance year (Quality 85.1795), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

1818 N MEADE ST
APPLETON, WI 54911

Provider Details

NPI 1528191723
Specialty Hematology & Oncology Physician
Credentials MD
Gender Male
NPI Issued 03/14/2007

CMS Quality Score (MIPS)

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

94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where EDGARD BADINE, 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.

ASCENSION NE WISCONSIN, INC
APPLETON, WI
OSF MULTI-SPECIALTY GROUP
ESCANABA, MI
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
GREEN BAY, WI

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.

535
Total Claims
$1.0M
Total Drug Cost
194
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
705
Total Day Supply
16,807
Generic Drug Cost
$258K
Opioid Claims
59 (11.0% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
2.55
Gender Split
57% female / 43% male
Age Distribution
<65: 20, 65-74: 89, 75-84: 71, 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
Ondansetron Hcl
57
Dexamethasone
23
Prednisone
23
Oxycodone Hcl
21
Exemestane
19
Olanzapine
19
Abiraterone Acetate
17
Eliquis
Apixaban
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Anastrozole
15

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

Hematology & Oncology Physician Overview

How EDGARD BADINE, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

EDGARD BADINE, MD's 535 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Wisconsin

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDGARD BADINE, MD's specialty?
EDGARD BADINE, MD specializes in Hematology & Oncology Physician and practices in APPLETON, Wisconsin. Credentials: MD.
How much does EDGARD BADINE, MD prescribe under Medicare Part D?
In 2023, EDGARD BADINE, MD wrote 535 Medicare Part D claims totaling $1.0M in drug costs for 194 beneficiaries.
What is EDGARD BADINE, MD's Medicare quality score?
EDGARD BADINE, MD has a CMS MIPS Final Score of 94.6154/100 (Quality: 85.1795). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDGARD BADINE, MD located?
EDGARD BADINE, MD is located at 1818 N MEADE ST, APPLETON, WI, 54911. Phone: (920) 735-7300.
What is EDGARD BADINE, MD's NPI number?
EDGARD BADINE, MD's National Provider Identifier (NPI) is 1528191723, issued on 03/14/2007.
Does EDGARD BADINE, MD prescribe opioids?
Yes, EDGARD BADINE, MD had 59 opioid claims in 2023 with an opioid prescribing rate of 11.0%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does EDGARD BADINE, MD prescribe most often?
Based on 2023 Medicare Part D data, EDGARD BADINE, MD's most frequently prescribed drugs include Ondansetron Hcl, Dexamethasone, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDGARD BADINE, MD accept Medicare?
EDGARD BADINE, MD appears in CMS Medicare data with 535 Part D claims and 194 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDGARD BADINE, MD's credentials?
EDGARD BADINE, MD's NPI is 1528191723 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