2026 NPPES data Hospitalist Physician NPI 1538265434 D.O.
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GAVIN BAUMGARDNER, D.O.

Hospitalist Physician in ATHENS, Ohio. 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
6K
Medicare Part D claims · 222 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$246
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GAVIN BAUMGARDNER, D.O. filed 6,478 Medicare Part D claims in 2023 as a Hospitalist Physician in ATHENS, Ohio, prescribing 84% generic.

6K
Part D claims, 2023
84%
generic prescribing
$246
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.

GAVIN BAUMGARDNER, D.O.'s Medicare Part D volume vs every U.S. prescriber

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

6,478 Top 4% higher than 96% 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%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

GAVIN BAUMGARDNER, D.O. 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 GAVIN BAUMGARDNER, D.O.?

Quality data not reported

NPI registry status

Active

Issued 09/16/2006

NPI 1538265434

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

6,478 630% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Ohio

How Hospitalist Physician compares to other specialties among Ohio providers

Ohio providers

Hospitalist Physician share within Ohio

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

Specialty board-certification context

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

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

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

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

GAVIN BAUMGARDNER, D.O. appears in the CMS NPPES registry as a Hospitalist Physician provider holding D.O. credentials at 55 HOSPITAL DR, ATHENS, OH, 45701, with a listed phone of (740) 593-5551. NPI 1538265434 was issued on 09/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMGARDNER 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 6,478 prescription claims written by this provider, covering 222 Medicare beneficiaries and totaling roughly $378K in drug spend, split 16% brand-name and 84% 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

55 HOSPITAL DR
ATHENS, OH 45701

Provider Details

NPI 1538265434
Specialty Hospitalist Physician
Credentials D.O.
Gender Male
NPI Issued 09/16/2006

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 GAVIN BAUMGARDNER, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$246

Largest payer

Cepheid

Most common payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to GAVIN BAUMGARDNER, D.O.. To verify GAVIN BAUMGARDNER, D.O.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GAVIN BAUMGARDNER, D.O. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 6,478 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.

6,478
Total Claims
$378K
Total Drug Cost
222
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,554
Total Day Supply
156,156
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$227K
Generic Drug Cost
$150K
Antibiotic Claims
193

Patient Demographics

Average Patient Age
80.5 years
Avg HCC Risk Score
2.14
Gender Split
62% female / 38% male
Age Distribution
<65: 15, 65-74: 46, 75-84: 72, 85+: 89

Top Prescribed Drugs (Medicare Part D)

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

What GAVIN BAUMGARDNER, D.O. 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
Atorvastatin Calcium
371
Levothyroxine Sodium
309
Sertraline Hcl
247
Eliquis
Apixaban
220
Gabapentin
201
Mirtazapine
182
Furosemide
180
Donepezil Hcl
157
Memantine Hcl
152
Trazodone Hcl
145

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

Hospitalist Physician Overview

How GAVIN BAUMGARDNER, D.O. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

GAVIN BAUMGARDNER, D.O.'s 6,478 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Ohio

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

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

Frequently Asked Questions

What is GAVIN BAUMGARDNER, D.O.'s specialty?
GAVIN BAUMGARDNER, D.O. specializes in Hospitalist Physician and practices in ATHENS, Ohio. Credentials: D.O..
How much does GAVIN BAUMGARDNER, D.O. prescribe under Medicare Part D?
In 2023, GAVIN BAUMGARDNER, D.O. wrote 6,478 Medicare Part D claims totaling $378K in drug costs for 222 beneficiaries.
Where is GAVIN BAUMGARDNER, D.O. located?
GAVIN BAUMGARDNER, D.O. is located at 55 HOSPITAL DR, ATHENS, OH, 45701. Phone: (740) 593-5551.
What is GAVIN BAUMGARDNER, D.O.'s NPI number?
GAVIN BAUMGARDNER, D.O.'s National Provider Identifier (NPI) is 1538265434, issued on 09/16/2006.
Does GAVIN BAUMGARDNER, D.O. prescribe more brand-name or generic drugs?
GAVIN BAUMGARDNER, D.O.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $227K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does GAVIN BAUMGARDNER, D.O. prescribe most often?
Based on 2023 Medicare Part D data, GAVIN BAUMGARDNER, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAVIN BAUMGARDNER, D.O. accept Medicare?
GAVIN BAUMGARDNER, D.O. appears in CMS Medicare data with 6,478 Part D claims and 222 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAVIN BAUMGARDNER, D.O.'s credentials?
GAVIN BAUMGARDNER, D.O.'s NPI is 1538265434 with credentials D.O.. 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