NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1376707307
Verify on CMS → Mark Biagtan
Pediatrics Physician in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
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
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mark Biagtan filed 3,485 Medicare Part D claims in 2023 as a Pediatrics Physician in Madison, Wisconsin, prescribing 46% generic.
- 3K
- Part D claims, 2023
- 46%
- 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.
Mark Biagtan's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,485 Top 10% higher than 90% of 1,370,886 prescribers
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)
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).
What does the federal data show about Mark Biagtan?
Quality data not reportedPrimary specialty
Pediatrics Physician
Medicare Part D claims
3,485 357% vs specialty avg
Specialty distribution in Wisconsin
How Pediatrics Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:
How MIPS and board certification work
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 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.
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.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 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
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%
Pediatrics Physician average
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.
What Mark Biagtan prescribes most
Top Medicare Part D drugs by claim count, 2023
- Flovent Hfa
Flovent Hfa
478 claims
- Montelukast Sodium
Montelukast Sodium
418 claims
- Azelastine Hcl
Azelastine Hcl
292 claims
- Advair Hfa
Advair Hfa
239 claims
- Fluticasone Propio…
Fluticasone Propionate
207 claims
- Advair Diskus 181
Advair Diskus
181 claims
- Albuterol Sulfate … 149
Albuterol Sulfate Hfa
149 claims
- Ventolin Hfa 118
Ventolin Hfa
118 claims
| 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.
80,576
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.
Dr. Jose Abad Santos
M.D.
Sussex, WI
Sukaina Abbas
Marshfield, WI
Dr. Sheryn Abraham
M.D.
Kenosha, WI
Dr. Akm Abuhiya
MD
Fort Atkinson, WI
Dr. Humaira Achakzai
MD
Burlington, WI
Compare Pediatrics Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 80,576 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.