2026 NPPES data Pediatrics Physician NPI 1376707307
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MARK BIAGTAN

Pediatrics Physician in MADISON, Wisconsin. 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
3K
Medicare Part D claims · 492 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: MARK BIAGTAN is a Pediatrics Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 3K claims across 492 beneficiaries — 54% brand-name prescribing .

What stands out: MARK BIAGTAN filed 3,485 Medicare Part D claims in 2023 across MADISON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK BIAGTAN 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).

MARK BIAGTAN at a glance

Quality data not reported

NPI registry status

Active

Issued 07/18/2008

NPI 1376707307

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

3,485 357% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Wisconsin

How Pediatrics Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Pediatrics Physician share within Wisconsin

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

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).

MARK BIAGTAN is a Pediatrics Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1376707307. 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.

MARK BIAGTAN appears in the CMS NPPES registry as a Pediatrics Physician provider at 20 S PARK ST, MADISON, WI, 53715, with a listed phone of (608) 287-2600. NPI 1376707307 was issued on 07/18/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIAGTAN 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 3,485 prescription claims written by this provider, covering 492 Medicare beneficiaries and totaling roughly $976K in drug spend, split 54% brand-name and 46% 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

20 S PARK ST
MADISON, WI 53715

Provider Details

NPI 1376707307
Specialty Pediatrics Physician
Gender Male
NPI Issued 07/18/2008

Hospital and facility affiliations

Facilities where MARK BIAGTAN 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.

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
MADISON, WI

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

MARK BIAGTAN — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 3,485 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.

3,485
Total Claims
$976K
Total Drug Cost
492
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,322
Total Day Supply
148,178
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$925K
Generic Drug Cost
$51K
Antibiotic Claims
136

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.96
Gender Split
68% female / 32% male
Age Distribution
<65: 38, 65-74: 259, 75-84: 165, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Flovent Hfa
Fluticasone Propionate
478
Montelukast Sodium
418
Azelastine Hcl
292
Advair Hfa
Fluticasone Propion/Salmeterol
239
Fluticasone Propionate
207
Advair Diskus
Fluticasone Propion/Salmeterol
181
Albuterol Sulfate Hfa
Albuterol Sulfate
149
Ventolin Hfa
Albuterol Sulfate
118
Prednisone
103
Breo Ellipta
Fluticasone/Vilanterol
95

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

Pediatrics Physician Overview

How MARK BIAGTAN fits within the Pediatrics Physician landscape nationally.

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

MARK BIAGTAN's 3,485 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is MARK BIAGTAN's specialty?
MARK BIAGTAN specializes in Pediatrics Physician and practices in MADISON, Wisconsin.
How much does MARK BIAGTAN prescribe under Medicare Part D?
In 2023, MARK BIAGTAN wrote 3,485 Medicare Part D claims totaling $976K in drug costs for 492 beneficiaries.
Where is MARK BIAGTAN located?
MARK BIAGTAN is located at 20 S PARK ST, MADISON, WI, 53715. Phone: (608) 287-2600.
What is MARK BIAGTAN's NPI number?
MARK BIAGTAN's National Provider Identifier (NPI) is 1376707307, issued on 07/18/2008.
Does MARK BIAGTAN prescribe more brand-name or generic drugs?
MARK BIAGTAN's prescribing is 54% brand-name and 46% generic drugs by claim count, with $925K 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 MARK BIAGTAN prescribe most often?
Based on 2023 Medicare Part D data, MARK BIAGTAN's most frequently prescribed drugs include Flovent Hfa, Montelukast Sodium, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK BIAGTAN accept Medicare?
MARK BIAGTAN appears in CMS Medicare data with 3,485 Part D claims and 492 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK BIAGTAN's credentials?
MARK BIAGTAN's NPI is 1376707307. 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