Ziya Baghmanli, M.D.
Surgery Physician · Red Bud, IL
Ziya Baghmanli, M.D. is a surgery physician with a practice address in Red Bud, Illinois, and NPI 1699068767, issued on May 24, 2011. Check the license (Illinois 036.142899, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Ziya Baghmanli
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 036.142899 IL
Self-reported in NPPES; status is on the state search - Practice location
- 325 Spring Street, Red Bud, IL 62278
- Phone
- (618) 282-3831
- Enumerated
- May 24, 2011
- Record last updated
- May 29, 2026
- Fax
- (618) 282-5476
- Medicare enrollment
- Enrolled (PECOS I20170627001916); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,520 in Illinois → Look up another NPI →
Also registered at 325 Spring Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Charmaine Edwards, M.D.Gastroenterology Physician1972586253
- Amber Harriman, PAPhysician Assistant1033307996
- Danielle Turner, APNNurse Practitioner1508219056
- Mary Wunderlich, PAPhysician Assistant1477856979
Verify Ziya Baghmanli in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036.142899Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
53% fewer Medicare Part D claims than the average surgery physician in 2024
69 Medicare Part D claims for 41 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $24.38
1 payment: food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
4 hospitals and group practices
- Memorial HospitalChester, IL · Acute Care Hospitals5 of 5 stars
- Deaconess Illinois Red Bud Regional Hospital IncRed Bud, IL
- Red Bud Illinois Hospital Company LLCRed Bud, IL
- Sparta Community Hospital D/B/A Quality Healthcare ClinicsSparta, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Ziya Baghmanli among 1,520 surgery physician records in Illinois
Ziya Baghmanli, M.D. is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 53% of them.
- NPI issued2011 · 53% of these records are older, 45% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 43% of these records are
- Graduated2012 · median 2004 among the 650 with a school on file
- Record last updated2026 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 surgery physician records list a practice address in Red Bud
They are 3 of the 89 NPPES records with a practice address in Red Bud, and 1,520 surgery physician records in Illinois.
All 1,520 in Illinois → Every provider in Red Bud → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Margret De Guzman, M.D.Red Bud, IL 622781477852028
- Chung Khan, MDRed Bud, IL 622781225032808
- Olukunle Obadina, MDPickneyville, IL 622741336323765
- Atkavi Sawadisavi, MDPinckneyville, IL 622741144211764
- Frantz Charles, MDSparta, IL 622861679657548
- Douglas Aach, MDShiloh, IL 622691508817040
- Kevin Barnett, MDShiloh, IL 622691932166030
- Michael Bergom, MDShiloh, IL 622691801814108
Common questions
What is Ziya Baghmanli, M.D.'s NPI number?
Ziya Baghmanli, M.D.'s National Provider Identifier (NPI) is 1699068767, issued on May 24, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Ziya Baghmanli, M.D. located?
The NPPES record lists a practice address at 325 Spring Street, Red Bud, IL, 62278. Phone: (618) 282-3831. Providers update this record themselves, so call before visiting.
How can I verify Ziya Baghmanli, M.D.'s license?
NPPES lists Illinois license number 036.142899, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ziya Baghmanli, M.D. prescribe under Medicare Part D?
In 2024, Ziya Baghmanli, M.D. had 69 Medicare Part D claims for 41 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Ziya Baghmanli, M.D.'s MIPS final score?
The 2023 MIPS final score is 95 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.