2026 NPPES data Pediatrics Physician NPI 1396738167
Verify on CMS →

ELIZABETH BUMGARNER

Pediatrics Physician in CHARLOTTE, North Carolina. 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
1K
Medicare Part D claims · 35 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

ELIZABETH BUMGARNER filed 1,196 Medicare Part D claims in 2023 as a Pediatrics Physician in CHARLOTTE, North Carolina, prescribing 90% generic.

1K
Part D claims, 2023
90%
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.

ELIZABETH BUMGARNER's Medicare Part D volume vs every U.S. prescriber

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

1,196 Top 23% higher than 77% 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%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 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)

ELIZABETH BUMGARNER 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 ELIZABETH BUMGARNER?

Quality data not reported

NPI registry status

Active

Issued 08/26/2005

NPI 1396738167

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

1,196 57% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in North Carolina

How Pediatrics Physician compares to other specialties among North Carolina providers

North Carolina providers

Pediatrics Physician share within North Carolina

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within North Carolina

Specialty board-certification context

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

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

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

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

ELIZABETH BUMGARNER is a Pediatrics Physician provider practicing in CHARLOTTE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1396738167. 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.

ELIZABETH BUMGARNER appears in the CMS NPPES registry as a Pediatrics Physician provider at 14214 BALLANTYNE LAKE RD, CHARLOTTE, NC, 28277, with a listed phone of (704) 667-2600. NPI 1396738167 was issued on 08/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUMGARNER 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 1,196 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $117K in drug spend, split 10% brand-name and 90% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 28277

Provider Details

NPI 1396738167
Specialty Pediatrics Physician
Gender Female
NPI Issued 08/26/2005

Brand vs generic prescribing mix · Typical

ELIZABETH BUMGARNER — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,196 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.

1,196
Total Claims
$117K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,200
Total Day Supply
27,974
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$49K
Generic Drug Cost
$67K
Antibiotic Claims
37

Patient Demographics

Average Patient Age
46.2 years
Avg HCC Risk Score
0.95
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lactulose
88
Diazepam
70
Clobazam
52
Fluticasone Propionate
52
Albuterol Sulfate
41
Lamotrigine
40
Enulose
Lactulose
37
Budesonide
36
Baclofen
33
Famotidine
29

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

Pediatrics Physician Overview

How ELIZABETH BUMGARNER fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

ELIZABETH BUMGARNER's 1,196 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as BUMGARNER.

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

Frequently Asked Questions

What is ELIZABETH BUMGARNER's specialty?
ELIZABETH BUMGARNER specializes in Pediatrics Physician and practices in CHARLOTTE, North Carolina.
How much does ELIZABETH BUMGARNER prescribe under Medicare Part D?
In 2023, ELIZABETH BUMGARNER wrote 1,196 Medicare Part D claims totaling $117K in drug costs for 35 beneficiaries.
Where is ELIZABETH BUMGARNER located?
ELIZABETH BUMGARNER is located at 14214 BALLANTYNE LAKE RD, CHARLOTTE, NC, 28277. Phone: (704) 667-2600.
What is ELIZABETH BUMGARNER's NPI number?
ELIZABETH BUMGARNER's National Provider Identifier (NPI) is 1396738167, issued on 08/26/2005.
Does ELIZABETH BUMGARNER prescribe more brand-name or generic drugs?
ELIZABETH BUMGARNER's prescribing is 10% brand-name and 90% generic drugs by claim count, with $49K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does ELIZABETH BUMGARNER prescribe most often?
Based on 2023 Medicare Part D data, ELIZABETH BUMGARNER's most frequently prescribed drugs include Lactulose, Diazepam, Clobazam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELIZABETH BUMGARNER accept Medicare?
ELIZABETH BUMGARNER appears in CMS Medicare data with 1,196 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELIZABETH BUMGARNER's credentials?
ELIZABETH BUMGARNER's NPI is 1396738167. 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