2026 NPPES data Anesthesiology Physician NPI 1548402407 M.D.
Verify on CMS →

EDWARD BAUMGARTNER, M.D.

Anesthesiology Physician in HOUSTON, Texas. 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
3K
Medicare Part D claims · 472 beneficiaries · Anesthesiology Physician avg: 860
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 83.1 · [object Object]
Industry payments
$3.7K
117 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWARD BAUMGARTNER, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 2,764 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
3K
Part D claims, 2023
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.

EDWARD BAUMGARTNER, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 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 + 1 hospital affiliation — 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

56,398 US NPIs in this specialty

Medicare Part D claims

2,764 221% vs specialty avg

2023 prescription claims

Specialty avg: 860

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Anesthesiology Physician compares to other specialties among Texas providers

Texas providers

Anesthesiology Physician share within Texas

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

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 83.1 national avg · 2023 performance year

MIPS final score (Anesthesiology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Anesthesiology Physician) — 100/100 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).

EDWARD BAUMGARTNER, M.D. is a Anesthesiology Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1548402407. 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 BAUMGARTNER, M.D. appears in the CMS NPPES registry as a Anesthesiology Physician provider holding M.D. credentials at 17314 STATE HIGHWAY 249 STE 100, HOUSTON, TX, 77064, with a listed phone of (832) 960-7160. NPI 1548402407 was issued on 03/24/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMGARTNER 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 2,764 prescription claims written by this provider, covering 472 Medicare beneficiaries and totaling roughly $158K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 60.1%. 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Anesthesiology Physician is a high-volume specialty nationwide, with 56,398 enrolled providers across 56 states and an average of 860 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

17314 STATE HIGHWAY 249 STE 100
HOUSTON, TX 77064

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
Avg: 83.1
100
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where EDWARD BAUMGARTNER, M.D. 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.

SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP
HOUSTON, TX

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 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%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 2,764 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.

2,764
Total Claims
$158K
Total Drug Cost
472
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,828
Total Day Supply
71,951
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$71K
Generic Drug Cost
$87K
Opioid Claims
1,661 (60.1% rate)
Antibiotic Claims
142

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
2.12
Gender Split
69% female / 31% male
Age Distribution
<65: 112, 65-74: 208, 75-84: 123, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,122
Gabapentin
177
Pregabalin
152
Tramadol Hcl
143
Tizanidine Hcl
127
Acetaminophen-Codeine
Acetaminophen With Codeine
117
Cephalexin
113
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
75
Nabumetone
57
Meloxicam
55

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

Anesthesiology Physician Overview

How EDWARD BAUMGARTNER, M.D. fits within the Anesthesiology Physician landscape nationally.

56,398
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider

EDWARD BAUMGARTNER, M.D.'s 2,764 claims are above the specialty average of 860.

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.

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 2023, EDWARD BAUMGARTNER, M.D. wrote 2,764 Medicare Part D claims totaling $158K in drug costs for 472 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 national average MIPS Final Score is 83.1. 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 $71K in brand drug costs.
Does EDWARD BAUMGARTNER, M.D. prescribe opioids?
Yes, EDWARD BAUMGARTNER, M.D. had 1,661 opioid claims in 2023 with an opioid prescribing rate of 60.1%.
How many Anesthesiology Physician providers are there in the US?
There are 56,398 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does EDWARD BAUMGARTNER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD BAUMGARTNER, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Pregabalin. 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 2,764 Part D claims and 472 Medicare beneficiaries in 2023. 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

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