2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1801915947 MD
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EDWARD BABIGUMIRA, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in PALATINE, Illinois. 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
2K
Medicare Part D claims · 342 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: EDWARD BABIGUMIRA, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in PALATINE, Illinois with a Medicare Part D prescribing footprint of 2K claims across 342 beneficiaries — 10% brand-name prescribing .

What stands out: EDWARD BABIGUMIRA, MD filed 2,165 Medicare Part D claims in 2023 across PALATINE, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDWARD BABIGUMIRA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EDWARD BABIGUMIRA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/28/2007

NPI 1801915947

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

2,165 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

Specialty distribution in Illinois

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Illinois providers

Illinois providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Illinois

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine (Physical Medicine & Rehabilitation) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Physical Medicine & Rehabilitation) Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) 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).

EDWARD BABIGUMIRA, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in PALATINE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1801915947. 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.

EDWARD BABIGUMIRA, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 600 N NORTH CT, PALATINE, IL, 60067, with a listed phone of (847) 496-5419. NPI 1801915947 was issued on 03/28/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BABIGUMIRA 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 2,165 prescription claims written by this provider, covering 342 Medicare beneficiaries and totaling roughly $112K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 6.7%. 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.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

600 N NORTH CT
PALATINE, IL 60067

Provider Details

NPI 1801915947
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 03/28/2007

Hospital and facility affiliations

Facilities where EDWARD BABIGUMIRA, 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.

ADVANCED REHABILITATION CARE, LLC
LA GRANGE, IL
INTEGRATIVE REHABMEDICINE SC
MILWAUKEE, 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).

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to EDWARD BABIGUMIRA, MD. To verify EDWARD BABIGUMIRA, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

EDWARD BABIGUMIRA, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 2,165 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.

2,165
Total Claims
$112K
Total Drug Cost
342
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,262
Total Day Supply
59,342
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$82K
Generic Drug Cost
$30K
Opioid Claims
145 (6.7% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
2.27
Gender Split
53% female / 47% male
Age Distribution
<65: 44, 65-74: 119, 75-84: 125, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
116
Amlodipine Besylate
70
Gabapentin
69
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
69
Pantoprazole Sodium
64
Tamsulosin Hcl
53
Furosemide
50
Clopidogrel
Clopidogrel Bisulfate
48
Lisinopril
47
Ondansetron Hcl
46

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How EDWARD BABIGUMIRA, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

EDWARD BABIGUMIRA, MD's 2,165 claims are above the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Illinois

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD BABIGUMIRA, MD's specialty?
EDWARD BABIGUMIRA, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in PALATINE, Illinois. Credentials: MD.
How much does EDWARD BABIGUMIRA, MD prescribe under Medicare Part D?
In 2023, EDWARD BABIGUMIRA, MD wrote 2,165 Medicare Part D claims totaling $112K in drug costs for 342 beneficiaries.
Where is EDWARD BABIGUMIRA, MD located?
EDWARD BABIGUMIRA, MD is located at 600 N NORTH CT, PALATINE, IL, 60067. Phone: (847) 496-5419.
What is EDWARD BABIGUMIRA, MD's NPI number?
EDWARD BABIGUMIRA, MD's National Provider Identifier (NPI) is 1801915947, issued on 03/28/2007.
Does EDWARD BABIGUMIRA, MD prescribe more brand-name or generic drugs?
EDWARD BABIGUMIRA, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $82K in brand drug costs.
Does EDWARD BABIGUMIRA, MD prescribe opioids?
Yes, EDWARD BABIGUMIRA, MD had 145 opioid claims in 2023 with an opioid prescribing rate of 6.7%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does EDWARD BABIGUMIRA, MD prescribe most often?
Based on 2023 Medicare Part D data, EDWARD BABIGUMIRA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD BABIGUMIRA, MD accept Medicare?
EDWARD BABIGUMIRA, MD appears in CMS Medicare data with 2,165 Part D claims and 342 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD BABIGUMIRA, MD's credentials?
EDWARD BABIGUMIRA, MD's NPI is 1801915947 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.
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