2026 NPPES data Adult Congenital Heart Disease Physician NPI 1407936826 MD
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PHILIP BARGER, MD

Adult Congenital Heart Disease Physician in CLEVELAND, 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
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
79.4829/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: PHILIP BARGER, MD is a Adult Congenital Heart Disease Physician ([object Object]) practicing in CLEVELAND, Ohio with a Medicare Part D prescribing footprint of 122 claims across 18 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 79.4829/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PHILIP BARGER, MD reported a CMS MIPS final score of 79.4829 out of 100, below the 83.1 national average, and filed 122 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

PHILIP BARGER, MD at a glance

Near national average

NPI registry status

Active

Issued 10/17/2006

NPI 1407936826

Primary specialty

Adult Congenital Heart Disease Physician

Rare

104 US NPIs in this specialty

Medicare Part D claims

122 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,930

MIPS final score

79.4829/100 3.6170999999999935% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Adult Congenital Heart Disease Physician compares to other specialties among Ohio providers

Ohio providers

Adult Congenital Heart Disease Physician share within Ohio

1. Adult Congenital Heart Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Congenital Heart Disease Physician share within Ohio

Medicare quality performance — MIPS

PHILIP BARGER, MD's 2023 MIPS final score plotted against the Adult Congenital Heart Disease Physician national average

Near national average
MIPS Final Score
79.4829/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Congenital Heart Disease Physician) — 79.4829/100 vs national avg 83.1

0%100%National avg83%79.5%
MIPS final score (Adult Congenital Heart Disease Physician) — 79.4829/100 vs national avg 83.1

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 is a Adult Congenital Heart Disease Physician provider practicing in CLEVELAND, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407936826. 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.

PHILIP BARGER, MD appears in the CMS NPPES registry as a 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARGER 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 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. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4829/100 for the 2023 performance year (Quality 68.5144, Cost 63.0952), compared with the national average of 83.1.

Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 104 enrolled providers across 31 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

2101 ADELBERT RD
CLEVELAND, OH 44106

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%
Specialty average (est.)

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.

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.

104
Adult Congenital Heart Disease Physician Providers in US
31
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.

Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →

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 79.4829/100 (Quality: 68.5144, Cost: 63.0952). 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 104 Adult Congenital Heart Disease Physician providers across 31 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

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