NPI registry status
Active
2026 NPPES data Adult Congenital Heart Disease Physician NPI 1407936826 MD
Verify on CMS → Philip Barger, MD
Adult Congenital Heart Disease Physician in Cleveland, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 106 in Adult Congenital Heart Disease 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
122
Medicare Part D claims · 18 beneficiaries · Adult Congenital Heart Disease Physician avg: 2K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.5/100
▼ 4 pts below national avg 83.1 · Above neutral
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
Philip Barger, MD reported a CMS MIPS final score of 79.5/100 - below the 83.1 national average - and filed 122 Medicare Part D claims in 2023.
- 79.5/100
- MIPS score · -4 vs avg
- 122
- Part D claims, 2023
- 91%
- 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.
Philip Barger, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Philip Barger, MD sits
This provider among adult congenital heart disease physician peers
Across the 24 adult congenital heart disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Philip Barger, MD writes more Part D claims than 38% of them and scores higher on MIPS quality than 25% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one adult congenital heart disease physician peer from a representative sample of 23; the gold marker is Philip Barger, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Philip Barger, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Philip Barger, MD?
Near national averagePrimary specialty
Adult Congenital Heart Disease Physician
Medicare Part D claims
122 94% vs specialty avg
MIPS final score
79.5/100 3.6 pts vs avg
Specialty distribution in Ohio
How Adult Congenital Heart Disease Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Philip Barger, MD's 2023 MIPS final score plotted against the Adult Congenital Heart Disease Physician national average
- MIPS Final Score
- 79.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Congenital Heart Disease Physician) - 79.5/100 vs national avg 83.1
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).
Philip Barger, MD appears in the CMS NPPES registry as an Adult Congenital Heart Disease Physician provider holding MD credentials at 2101 ADELBERT RD, Cleveland, OH, 44106, with a listed phone of (216) 844-3437. NPI 1407936826 was issued on 10/17/2006.
Medicare Part D records for calendar year 2023 show 122 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $10K in drug spend, split 9% brand-name and 91% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.5/100 for the 2023 performance year (Quality 68.5, Cost 63.1), compared with the national average of 83.1.
Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 106 enrolled providers across 32 states and an average of 1,930 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 | 1407936826 |
|---|---|
| Specialty | Adult Congenital Heart Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.4829
Final Score
Avg: 83.1
68.5144
Quality
63.0952
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Philip Barger, MD. To verify Philip Barger, 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
Philip Barger, MD - brand share 9.0%
Adult Congenital Heart Disease Physician average
9% brand-name claims vs 91% generic, on 122 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.
122
Total Claims
$10K
Total Drug Cost
18
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 164
- Total Day Supply
- 4,514
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $9K
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 47.8 years
- Avg HCC Risk Score
- 1.88
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Philip Barger, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
33 claims
- Lisinopril
Lisinopril
21 claims
- Furosemide
Furosemide
14 claims
- Amlodipine Besylate 13
Amlodipine Besylate
13 claims
- Spironolactone 13
Spironolactone
13 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 33 |
| Lisinopril | 21 |
| Furosemide | 14 |
| Amlodipine Besylate | 13 |
| Spironolactone | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Congenital Heart Disease Physician Overview
How Philip Barger, MD fits within the Adult Congenital Heart Disease Physician landscape nationally.
106
Adult Congenital Heart Disease Physician Providers in US
32
States with Adult Congenital Heart Disease Physician
1,930
Avg Claims per Provider
Philip Barger, MD's 122 claims are below the specialty average of 1,930.
Nearby Adult Congenital Heart Disease Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Barger.
Dr. Hassan Almeneisi
MD
Cincinnati, OH
Dr. Aimee Armstrong
MD
Columbus, OH
Dr. Martin Bocks
MD
Cleveland, OH
Dr. Francine Erenberg
MD
Cleveland, OH
Dr. Margaret Fuchs
MD
Cleveland, OH
Compare Adult Congenital Heart Disease 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Congenital Heart Disease 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 Philip Barger, MD's specialty? ▼
Philip Barger, MD specializes in Adult Congenital Heart Disease Physician and practices in Cleveland, Ohio. Credentials: MD.
How much does Philip Barger, MD prescribe under Medicare Part D? ▼
In 2023, Philip Barger, MD wrote 122 Medicare Part D claims totaling $10K in drug costs for 18 beneficiaries.
What is Philip Barger, MD's Medicare quality score? ▼
Philip Barger, MD has a CMS MIPS Final Score of 79.5/100 (Quality: 68.5, Cost: 63.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Philip Barger, MD located? ▼
Philip Barger, MD is located at 2101 ADELBERT RD, Cleveland, OH, 44106. Phone: (216) 844-3437.
What is Philip Barger, MD's NPI number? ▼
Philip Barger, MD's National Provider Identifier (NPI) is 1407936826, issued on 10/17/2006.
Does Philip Barger, MD prescribe more brand-name or generic drugs? ▼
Philip Barger, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $9K in brand drug costs.
How many Adult Congenital Heart Disease Physician providers are there in the US? ▼
There are 106 Adult Congenital Heart Disease Physician providers across 32 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,930 Medicare Part D claims per year.
What drugs does Philip Barger, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Philip Barger, MD's most frequently prescribed drugs include Metoprolol Succinate, Lisinopril, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Philip Barger, MD accept Medicare? ▼
Philip Barger, MD appears in CMS Medicare data with 122 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philip Barger, MD's credentials? ▼
Philip Barger, MD's NPI is 1407936826 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
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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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.