Warren Buchalter, MD
Specialist in Glen Burnie, Maryland. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Warren Buchalter, MD reported a CMS MIPS final score of 83.1/100 - below the 83.1 national average - and filed 815 Medicare Part D claims in 2023.
- 83.1/100
- MIPS score · 0 vs avg
- 815
- Part D claims, 2023
- 98%
- generic prescribing
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.
Warren Buchalter, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
83 42nd percentile higher than 42% 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 Warren Buchalter, MD sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Warren Buchalter, MD writes more Part D claims than 48% of them and scores higher on MIPS quality than 54% - placing this provider in the lower-volume, high-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 specialist peer from a representative sample of 60; the gold marker is Warren Buchalter, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Warren Buchalter, MD?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Maryland
How Specialist compares to other specialties among Maryland providers
Largest specialties in Maryland (% of in-state providers)
Specialist ranks #32 among Maryland's specialties (0.7% of in-state providers)
Each bar is a specialty's share of the Maryland provider total, by primary NUCC taxonomy. The highlighted bar is Specialist; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Warren Buchalter, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 83.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 83.1/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Specialist US NPIs
83.1/100 MIPS final score - 0.0 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Specialist. Quality dim: 68.7. Cost dim: 76.6.
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).
Warren Buchalter, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 802 LANDMARK DR, STE 119, Glen Burnie, MD, 21061, with a listed phone of (410) 760-8840. NPI 1144228149 was issued on 07/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Buchalter 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 815 prescription claims written by this provider, covering 384 Medicare beneficiaries and totaling roughly $23K in drug spend, split 2% brand-name and 98% 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 83.1/100 for the 2023 performance year (Quality 68.7, Cost 76.6), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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 | 1144228149 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/13/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Warren Buchalter, MD's current license status, disciplinary history, and board certifications with the Maryland Board of Physicians in Maryland before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Warren Buchalter, 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.
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 · Generic-heavy
2% brand-name claims vs 98% generic, on 815 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.
Prescribing Breakdown
- 30-Day Fills
- 1,302
- Total Day Supply
- 32,456
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $20K
- Antibiotic Claims
- 119
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 1.15
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 24, 65-74: 167, 75-84: 152, 85+: 41
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Warren Buchalter, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Famotidine
Famotidine
181 claims
- Fluticasone Propio…
Fluticasone Propionate
90 claims
- Pantoprazole Sodium 70
Pantoprazole Sodium
70 claims
- Cefdinir 63
Cefdinir
63 claims
- Methylprednisolone 57
Methylprednisolone
57 claims
- Azelastine Hcl 46
Azelastine Hcl
46 claims
- Ipratropium Bromide 40
Ipratropium Bromide
40 claims
- Mupirocin 40
Mupirocin
40 claims
| Drug | Claims |
|---|---|
| Famotidine | 181 |
| Fluticasone Propionate | 90 |
| Pantoprazole Sodium | 70 |
| Cefdinir | 63 |
| Methylprednisolone | 57 |
| Azelastine Hcl | 46 |
| Ipratropium Bromide | 40 |
| Mupirocin | 40 |
| Fluocinolone Acetonide Oil | 34 |
| Doxycycline Monohydrate | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Warren Buchalter, MD fits within the Specialist landscape nationally.
Warren Buchalter, MD's 815 claims are below the specialty average of 1,474.
Nearby Specialist Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Buchalter.
Compare Specialist 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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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
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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