2026 NPPES data Emergency Medicine Physician NPI 1801863774 MD
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MARC BAUMGARD, MD

Emergency Medicine Physician in LORAIN, 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
337
Medicare Part D claims · 220 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARC BAUMGARD, MD filed 337 Medicare Part D claims in 2023 as a Emergency Medicine Physician in LORAIN, Ohio, prescribing 95% generic.

337
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.

MARC BAUMGARD, MD's Medicare Part D volume vs every U.S. prescriber

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

337 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 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 certification likely (heuristic — not verified)

MARC BAUMGARD, MD 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).

What does the federal data show about MARC BAUMGARD, MD?

Quality data not reported

NPI registry status

Active

Issued 03/01/2006

NPI 1801863774

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

337 4% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Ohio

How Emergency Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Emergency Medicine Physician share within Ohio

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

Specialty board-certification context

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

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

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

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

MARC BAUMGARD, MD is a Emergency Medicine Physician provider practicing in LORAIN, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1801863774. 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.

MARC BAUMGARD, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 3700 KOLBE RD, LORAIN, OH, 44053, with a listed phone of (440) 960-4000. NPI 1801863774 was issued on 03/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMGARD 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 337 prescription claims written by this provider, covering 220 Medicare beneficiaries and totaling roughly $5K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 5.0%. 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.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

3700 KOLBE RD
LORAIN, OH 44053

Provider Details

NPI 1801863774
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/01/2006

Hospital and facility affiliations

Facilities where MARC BAUMGARD, MD 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.

EMERGENCY MEDICINE SERVICES OF FL LLC
PORT SAINT LUCIE, FL

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

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 MARC BAUMGARD, MD. To verify MARC BAUMGARD, MD'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 · Generic-heavy

MARC BAUMGARD, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 337 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.

337
Total Claims
$5K
Total Drug Cost
220
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
339
Total Day Supply
3,451
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$2K
Opioid Claims
17 (5.0% rate)
Antibiotic Claims
122

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.54
Gender Split
62% female / 38% male
Age Distribution
<65: 59, 65-74: 90, 75-84: 54, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Azithromycin
36
Methylprednisolone
34
Ciprofloxacin Hcl
24
Cyclobenzaprine Hcl
23
Ondansetron Hcl
20
Levofloxacin
15
Naproxen
15
Dicyclomine Hcl
13
Meloxicam
12
Clindamycin Hcl
11

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

Emergency Medicine Physician Overview

How MARC BAUMGARD, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

MARC BAUMGARD, MD's 337 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Ohio

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARC BAUMGARD, MD's specialty?
MARC BAUMGARD, MD specializes in Emergency Medicine Physician and practices in LORAIN, Ohio. Credentials: MD.
How much does MARC BAUMGARD, MD prescribe under Medicare Part D?
In 2023, MARC BAUMGARD, MD wrote 337 Medicare Part D claims totaling $5K in drug costs for 220 beneficiaries.
Where is MARC BAUMGARD, MD located?
MARC BAUMGARD, MD is located at 3700 KOLBE RD, LORAIN, OH, 44053. Phone: (440) 960-4000.
What is MARC BAUMGARD, MD's NPI number?
MARC BAUMGARD, MD's National Provider Identifier (NPI) is 1801863774, issued on 03/01/2006.
Does MARC BAUMGARD, MD prescribe more brand-name or generic drugs?
MARC BAUMGARD, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
Does MARC BAUMGARD, MD prescribe opioids?
Yes, MARC BAUMGARD, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 5.0%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does MARC BAUMGARD, MD prescribe most often?
Based on 2023 Medicare Part D data, MARC BAUMGARD, MD's most frequently prescribed drugs include Azithromycin, Methylprednisolone, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARC BAUMGARD, MD accept Medicare?
MARC BAUMGARD, MD appears in CMS Medicare data with 337 Part D claims and 220 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARC BAUMGARD, MD's credentials?
MARC BAUMGARD, MD's NPI is 1801863774 with credentials MD. 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