2026 NPPES data Pulmonary Disease Physician NPI 1144754540
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KEVIN SCHWALBACH

Pulmonary Disease Physician in SAINT PAUL, Minnesota. 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
91
Medicare Part D claims · 23 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: KEVIN SCHWALBACH is a Pulmonary Disease Physician ([object Object]) practicing in SAINT PAUL, Minnesota with a Medicare Part D prescribing footprint of 91 claims across 23 beneficiaries — 66% brand-name prescribing .

What stands out: KEVIN SCHWALBACH filed 91 Medicare Part D claims in 2023 across SAINT PAUL, Minnesota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KEVIN SCHWALBACH practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KEVIN SCHWALBACH at a glance

Quality data not reported

NPI registry status

Active

Issued 04/12/2017

NPI 1144754540

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

91 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Minnesota

How Pulmonary Disease Physician compares to other specialties among Minnesota providers

Minnesota providers

Pulmonary Disease Physician share within Minnesota

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Minnesota

Specialty board-certification context

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

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

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

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

KEVIN SCHWALBACH is a Pulmonary Disease Physician provider practicing in SAINT PAUL, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1144754540. 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.

KEVIN SCHWALBACH appears in the CMS NPPES registry as a Pulmonary Disease Physician provider at 401 PHALEN BLVD, SAINT PAUL, MN, 55130, with a listed phone of (952) 967-7616. NPI 1144754540 was issued on 04/12/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SCHWALBACH 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 91 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $35K in drug spend, split 66% brand-name and 34% 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

401 PHALEN BLVD
SAINT PAUL, MN 55130

Provider Details

NPI 1144754540
Specialty Pulmonary Disease Physician
Gender Male
NPI Issued 04/12/2017

Hospital and facility affiliations

Facilities where KEVIN SCHWALBACH 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.

GROUP HEALTH PLAN INC
SAINT PAUL, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

KEVIN SCHWALBACH — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 91 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.

91
Total Claims
$35K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
133
Total Day Supply
3,760
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$34K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
2.72

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
16

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

Pulmonary Disease Physician Overview

How KEVIN SCHWALBACH fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

KEVIN SCHWALBACH's 91 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Minnesota

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN SCHWALBACH's specialty?
KEVIN SCHWALBACH specializes in Pulmonary Disease Physician and practices in SAINT PAUL, Minnesota.
How much does KEVIN SCHWALBACH prescribe under Medicare Part D?
In 2023, KEVIN SCHWALBACH wrote 91 Medicare Part D claims totaling $35K in drug costs for 23 beneficiaries.
Where is KEVIN SCHWALBACH located?
KEVIN SCHWALBACH is located at 401 PHALEN BLVD, SAINT PAUL, MN, 55130. Phone: (952) 967-7616.
What is KEVIN SCHWALBACH's NPI number?
KEVIN SCHWALBACH's National Provider Identifier (NPI) is 1144754540, issued on 04/12/2017.
Does KEVIN SCHWALBACH prescribe more brand-name or generic drugs?
KEVIN SCHWALBACH's prescribing is 66% brand-name and 34% generic drugs by claim count, with $34K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does KEVIN SCHWALBACH prescribe most often?
Based on 2023 Medicare Part D data, KEVIN SCHWALBACH's most frequently prescribed drugs include Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN SCHWALBACH accept Medicare?
KEVIN SCHWALBACH appears in CMS Medicare data with 91 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN SCHWALBACH's credentials?
KEVIN SCHWALBACH's NPI is 1144754540. 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