2026 NPPES data Surgery Physician NPI 1013028315 M.D.
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EDGARDO BARCELONA, M.D.

Surgery Physician in LANCASTER, California. 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
174
Medicare Part D claims · 18 beneficiaries · Surgery Physician avg: 169
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

EDGARDO BARCELONA, M.D. filed 174 Medicare Part D claims in 2023 as a Surgery Physician in LANCASTER, California, prescribing 86% generic.

174
Part D claims, 2023
86%
generic prescribing

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.

EDGARDO BARCELONA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

174 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

EDGARDO BARCELONA, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about EDGARDO BARCELONA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/31/2006

NPI 1013028315

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

174 3% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in California

How Surgery Physician compares to other specialties among California providers

California providers

Surgery Physician share within California

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

Specialty board-certification context

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

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

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

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

EDGARDO BARCELONA, M.D. is a Surgery Physician provider practicing in LANCASTER, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1013028315. 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.

EDGARDO BARCELONA, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 43839 15TH ST W, LANCASTER, CA, 93534, with a listed phone of (661) 945-5984. NPI 1013028315 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARCELONA 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 174 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $35K in drug spend, split 14% brand-name and 86% 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.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

43839 15TH ST W
LANCASTER, CA 93534

Provider Details

NPI 1013028315
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 08/31/2006

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to EDGARDO BARCELONA, M.D.. To verify EDGARDO BARCELONA, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

EDGARDO BARCELONA, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 174 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.

174
Total Claims
$35K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
182
Total Day Supply
4,835
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$22K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
77.9 years
Avg HCC Risk Score
1.58

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
26
Sertraline Hcl
14
Ondansetron Hcl
12
Potassium Chloride
12
Victoza 3-Pak
Liraglutide
11

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

Surgery Physician Overview

How EDGARDO BARCELONA, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

EDGARDO BARCELONA, M.D.'s 174 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in California

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

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

Frequently Asked Questions

What is EDGARDO BARCELONA, M.D.'s specialty?
EDGARDO BARCELONA, M.D. specializes in Surgery Physician and practices in LANCASTER, California. Credentials: M.D..
How much does EDGARDO BARCELONA, M.D. prescribe under Medicare Part D?
In 2023, EDGARDO BARCELONA, M.D. wrote 174 Medicare Part D claims totaling $35K in drug costs for 18 beneficiaries.
Where is EDGARDO BARCELONA, M.D. located?
EDGARDO BARCELONA, M.D. is located at 43839 15TH ST W, LANCASTER, CA, 93534. Phone: (661) 945-5984.
What is EDGARDO BARCELONA, M.D.'s NPI number?
EDGARDO BARCELONA, M.D.'s National Provider Identifier (NPI) is 1013028315, issued on 08/31/2006.
Does EDGARDO BARCELONA, M.D. prescribe more brand-name or generic drugs?
EDGARDO BARCELONA, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $22K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does EDGARDO BARCELONA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDGARDO BARCELONA, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Sertraline Hcl, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDGARDO BARCELONA, M.D. accept Medicare?
EDGARDO BARCELONA, M.D. appears in CMS Medicare data with 174 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDGARDO BARCELONA, M.D.'s credentials?
EDGARDO BARCELONA, M.D.'s NPI is 1013028315 with credentials M.D.. 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