Hugh P. Babineau, MD
Surgery Physician · Tyler, TX
Hugh P. Babineau, MD is a surgery physician with a practice address in Tyler, Texas, and NPI 1043206774, issued on Sep 27, 2005. Check the license (Texas L 1797, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Hugh P. Babineau
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- L 1797 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1100 E Lake St, Tyler, TX 75701
- Phone
- (903) 593-0230
- Enumerated
- Sep 27, 2005
- Record last updated
- Apr 28, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (903) 597-3015
- Medicaid ID
- 1486250-01 TX
- Medicare enrollment
- Enrolled (PECOS I20040907000473); accepts Medicare assignment
- Medical or professional school
- University Of Rochester School Of Medicine And Dentistry, 1996
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 2,192 in Texas → Look up another NPI →
Also registered at 1100 E Lake St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Craig Harrison, MDPlastic Surgery Physician1649268483
- Lisa Losack, BSN, CNOR, CRNFARegistered Nurse First Assistant1962580241
- James Turlington, MDUrology Physician1346345113
Verify Hugh P. Babineau in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license L 1797Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
35% fewer Medicare Part D claims than the average surgery physician in 2024
96 Medicare Part D claims for 58 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 45 claims were for opioids.
Most prescribed
- Oxycodone Hcl44 claims
- Omeprazole13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $384.23
6 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Etmc Physician Group, Inc.Tyler, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hugh P. Babineau among 2,192 surgery physician records in Texas
Hugh P. Babineau, MD is one of 2,192 surgery physician records with a practice address in Texas. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1996 · median 2004 among the 1,350 with a school on file
- Record last updated2008 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Texas
There are 2,192 surgery physician records in Texas.
All 2,192 in Texas → Every provider in Tyler → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Darrell Alley, M.D.Tyler, TX 757011235254384
- Bruce Applebaum, M.D.Tyler, TX 757011902803679
- Margarita De La Garza-Grahm, MDTyler, TX 757011083686877
- Adair Deberry-Carlisle, D.O.Tyler, TX 757011730110651
- Harris Fender, MDTyler, TX 757011801901376
- Brijesh Gill, M.D.Tyler, TX 757011346279502
- Kenneth Helmer, MDTyler, TX 757011497785356
- Charles Keith, M.D.Tyler, TX 757011487098240
Common questions
What is Hugh P. Babineau, MD's NPI number?
Hugh P. Babineau, MD's National Provider Identifier (NPI) is 1043206774, issued on Sep 27, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Hugh P. Babineau, MD located?
The NPPES record lists a practice address at 1100 E Lake St, Tyler, TX, 75701. Phone: (903) 593-0230. Providers update this record themselves, so call before visiting.
How can I verify Hugh P. Babineau, MD's license?
NPPES lists Texas license number L 1797, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hugh P. Babineau, MD prescribe under Medicare Part D?
In 2024, Hugh P. Babineau, MD had 96 Medicare Part D claims for 58 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Hugh P. Babineau, MD's MIPS final score?
The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.