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2026 NPPES data Anesthesiology Physician NPI 1548402407 M.D.
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Edward Baumgartner, M.D.

Anesthesiology Physician in Houston, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 57,554 in Anesthesiology 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
3K
Medicare Part D claims · 425 beneficiaries · Anesthesiology Physician avg: 823
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$3.7K
117 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Edward Baumgartner, M.D. reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 2,534 Medicare Part D claims in 2024.

100/100
MIPS score · +17 vs avg
3K
Part D claims, 2024
95%
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 Edward Baumgartner, M.D.

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 1548402407), first enumerated 03/24/2009.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,534 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 100/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $3.7K in reported industry payments (117 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Edward Baumgartner, M.D.'s individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • 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 1548402407 · Anesthesiology Physician

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1548402407
  • ENUM-MID 2009
  • TAX-MEGA 58K Anesthesiology Physician
  • MIPS-ELITE 100/100
  • RX-MID 2,534
  • BOOK-LIGHT 4,363 in Texas
  • PHOTO-FINISH John Brumm · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Edward Baumgartner, M.D.'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.

100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Edward Baumgartner, M.D. sits

This provider among anesthesiology physician peers

Across the 1,484 anesthesiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Edward Baumgartner, M.D. writes more Part D claims than 83% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 73Edward Baumgartner, M.D., Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 93
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one anesthesiology physician peer from a representative sample of 60; the gold marker is Edward Baumgartner, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Edward Baumgartner, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Edward Baumgartner, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/24/2009

NPI 1548402407

Primary specialty

Anesthesiology Physician

High-volume

57,554 US NPIs in this specialty

Medicare Part D claims

2,534 208% vs specialty avg

2024 prescription claims

Specialty avg: 823

MIPS final score

100/100 16.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Texas

How Anesthesiology Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Anesthesiology Physician1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Edward Baumgartner, M.D.'s 2023 MIPS final score plotted against the Anesthesiology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Anesthesiology Physician) - 100/100 vs national avg 83.5
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

17314 STATE HIGHWAY 249 STE 100
Houston, TX 77064
(832) 960-7160

Provider Details

NPI 1548402407
Specialty Anesthesiology Physician
Credentials M.D.
Gender Male
NPI Issued 03/24/2009

CMS Quality Score (MIPS)

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

100
Final Score
Measured-score avg: 83.5
100
Quality

Reporting: Individual

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 Edward Baumgartner, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.7K

Largest payer

Abbott Laboratories

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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Edward Baumgartner, M.D.. To verify Edward Baumgartner, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Edward Baumgartner, M.D. - brand share 5.0%
Anesthesiology Physician average

5% brand-name claims vs 95% generic, on 2,534 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.

2,534
Total Claims
$134K
Total Drug Cost
425
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,602.1
Total Day Supply
67,714
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$74K
Generic Drug Cost
$59K
Opioid Claims
1,776 (70.1% rate)
Antibiotic Claims
86

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
2.10
Gender Split
68% female / 32% male
Age Distribution
<65: 79, 65-74: 194, 75-84: 120, 85+: 32

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Edward Baumgartner, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,295
Gabapentin
 127
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
125
Pregabalin
 95
Tramadol Hcl
 93
Tizanidine Hcl
 88
Cephalexin
 73
Acetaminophen-Codeine
Acetaminophen With Codeine
68
Meloxicam
 38
Morphine Sulfate Er
Morphine Sulfate
35

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

More Anesthesiology Physician in TX → All providers in Texas → Compare specialties →

Anesthesiology Physician Overview

How Edward Baumgartner, M.D. fits within the Anesthesiology Physician landscape nationally.

57,554
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
823
Avg Claims per Provider

Edward Baumgartner, M.D.'s 2,534 claims are above the specialty average of 823.

Nationwide Anesthesiology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Baumgartner, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (100 here).

John Brumm 100 CA Lisa Camerino 100 CA Krista Cascia 100 CA Raul Castillo 100 AZ

Same NPPES enumeration year (2009)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Markus Kaiser Milwaukee, WI Calvin Cajigal Des Peres, MO Ralph Alfenito Huntington, NY Faraz Chaudhry Newark, NJ

Nearby Anesthesiology Physician Providers in Texas

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

One of 4,363 Anesthesiology Physician providers enrolled in Texas, 5 are shown here.

Dr. Asle Aarsland
M.D.
Galveston, TX
Dr. Maryann Abanobi
MD
Dallas, TX
Dr. Mohamad Abdalla
MD
Dallas, TX
Ayham Abdel
San Antonio, TX
Dr. Ahmed Abdel Rahman
MD, FRCPC, MBA
Rockwall, TX

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

Frequently Asked Questions

What is Edward Baumgartner, M.D.'s specialty? ▼
Edward Baumgartner, M.D. specializes in Anesthesiology Physician and practices in Houston, Texas. Credentials: M.D..
How much does Edward Baumgartner, M.D. prescribe under Medicare Part D? ▼
In 2024, Edward Baumgartner, M.D. wrote 2,534 Medicare Part D claims totaling $134K in drug costs for 425 beneficiaries.
What is Edward Baumgartner, M.D.'s Medicare quality score? ▼
Edward Baumgartner, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). 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 Edward Baumgartner, M.D. located? ▼
Edward Baumgartner, M.D. is located at 17314 STATE HIGHWAY 249 STE 100, Houston, TX, 77064. Phone: (832) 960-7160.
What is Edward Baumgartner, M.D.'s NPI number? ▼
Edward Baumgartner, M.D.'s National Provider Identifier (NPI) is 1548402407, issued on 03/24/2009.
Does Edward Baumgartner, M.D. prescribe more brand-name or generic drugs? ▼
Edward Baumgartner, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $74K in brand drug costs.
Does Edward Baumgartner, M.D. prescribe opioids? ▼
Yes, Edward Baumgartner, M.D. had 1,776 opioid claims in 2024 with an opioid prescribing rate of 70.1%.
How many Anesthesiology Physician providers are there in the US? ▼
There are 57,554 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 823 Medicare Part D claims per year.
What drugs does Edward Baumgartner, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Edward Baumgartner, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edward Baumgartner, M.D. accept Medicare? ▼
Edward Baumgartner, M.D. appears in CMS Medicare data with 2,534 Part D claims and 425 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edward Baumgartner, M.D.'s credentials? ▼
Edward Baumgartner, M.D.'s NPI is 1548402407 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

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

Compiled from official public sources by the editorial process.

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.