2026 NPPES data Physician Assistant NPI 1568841781 PA-C
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EDMOND BABINEAU, PA-C

Physician Assistant in ALLENTOWN, Pennsylvania. 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
493
Medicare Part D claims · 200 beneficiaries · Physician Assistant avg: 790
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
54 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDMOND BABINEAU, PA-C filed 493 Medicare Part D claims in 2023 as a Physician Assistant in ALLENTOWN, Pennsylvania, prescribing 93% generic.

493
Part D claims, 2023
93%
generic prescribing
$1.1K
industry payments (Sunshine Act)

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.

EDMOND BABINEAU, PA-C's Medicare Part D volume vs every U.S. prescriber

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

493 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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

What does the federal data show about EDMOND BABINEAU, PA-C?

Quality data not reported

NPI registry status

Active

Issued 05/20/2015

NPI 1568841781

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

493 38% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Pennsylvania

How Physician Assistant compares to other specialties among Pennsylvania providers

Pennsylvania providers

Physician Assistant share within Pennsylvania

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Pennsylvania

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Physician Assistant) — 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).

EDMOND BABINEAU, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 250 CETRONIA RD STE 302, ALLENTOWN, PA, 18104, with a listed phone of (610) 437-2378. NPI 1568841781 was issued on 05/20/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BABINEAU 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 493 prescription claims written by this provider, covering 200 Medicare beneficiaries and totaling roughly $94K in drug spend, split 7% brand-name and 93% 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

250 CETRONIA RD STE 302
ALLENTOWN, PA 18104

Provider Details

NPI 1568841781
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 05/20/2015

Hospital and facility affiliations

Facilities where EDMOND BABINEAU, PA-C 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.

AESTHETIC SURGERY ASSOCIATES
ALLENTOWN, PA

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 EDMOND BABINEAU, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Janssen Biotech, Inc.

Most common payment type

Food and Beverage

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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to EDMOND BABINEAU, PA-C. To verify EDMOND BABINEAU, PA-C's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

EDMOND BABINEAU, PA-C — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 493 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.

493
Total Claims
$94K
Total Drug Cost
200
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
524
Total Day Supply
12,229
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$79K
Generic Drug Cost
$15K
Antibiotic Claims
58

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.12
Gender Split
44% female / 56% male
Age Distribution
<65: 18, 65-74: 92, 75-84: 67, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What EDMOND BABINEAU, PA-C 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
Ketoconazole
90
Triamcinolone Acetonide
79
Mupirocin
67
Hydrocortisone
33
Doxycycline Hyclate
29
Clobetasol Propionate
24
Cephalexin
19
Fluorouracil
18
Calcipotriene
14
Clindamycin Phosphate
14

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

Physician Assistant Overview

How EDMOND BABINEAU, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

EDMOND BABINEAU, PA-C's 493 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Pennsylvania

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

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

Frequently Asked Questions

What is EDMOND BABINEAU, PA-C's specialty?
EDMOND BABINEAU, PA-C specializes in Physician Assistant and practices in ALLENTOWN, Pennsylvania. Credentials: PA-C.
How much does EDMOND BABINEAU, PA-C prescribe under Medicare Part D?
In 2023, EDMOND BABINEAU, PA-C wrote 493 Medicare Part D claims totaling $94K in drug costs for 200 beneficiaries.
Where is EDMOND BABINEAU, PA-C located?
EDMOND BABINEAU, PA-C is located at 250 CETRONIA RD STE 302, ALLENTOWN, PA, 18104. Phone: (610) 437-2378.
What is EDMOND BABINEAU, PA-C's NPI number?
EDMOND BABINEAU, PA-C's National Provider Identifier (NPI) is 1568841781, issued on 05/20/2015.
Does EDMOND BABINEAU, PA-C prescribe more brand-name or generic drugs?
EDMOND BABINEAU, PA-C's prescribing is 7% brand-name and 93% generic drugs by claim count, with $79K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does EDMOND BABINEAU, PA-C prescribe most often?
Based on 2023 Medicare Part D data, EDMOND BABINEAU, PA-C's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDMOND BABINEAU, PA-C accept Medicare?
EDMOND BABINEAU, PA-C appears in CMS Medicare data with 493 Part D claims and 200 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDMOND BABINEAU, PA-C's credentials?
EDMOND BABINEAU, PA-C's NPI is 1568841781 with credentials PA-C. 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