DR. ZACHARY TYLER BAUMGARDNER MD NPI 1003016809
Family Medicine in Reno, NV
About DR. ZACHARY TYLER BAUMGARDNER MD
Zachary Baumgardner is a primary care provider established in Reno, Nevada and his medical specialization is Family Medicine with more than 16 years of experience. The NPI number of this provider is 1003016809 and was assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 13559 (NV). The provider is registered as an individual and his NPI record was last updated 12 years ago.
|Provider Name||DR. ZACHARY TYLER BAUMGARDNER MD|
|Location Address||601 RALSTON ST SUITE 100 RENO, NV 89503|
|Location Phone||(775) 786-1110|
|Mailing Address||601 RALSTON ST SUITE 100 RENO, NV 89503|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||No|
|Last Update Date||07-07-2011|
A primary care provider (PCP) like Zachary Baumgardner sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Zachary Baumgardner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Zachary Baumgardner is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Renown Regional Medical Center and Saint Mary's Regional Medical Center.
The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: documentation of current medications in the medical record and preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $26.65 for an established patient copayment.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
|Type||Allopathic & Osteopathic Physicians|
|Taxonomy Description||Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.|
601 RALSTON ST
Phone: (775) 786-1110
601 RALSTON ST
Phone: (775) 786-1110
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
|Registered in PECOS?||Yes|
|PECOS PAC ID||7517091341|
|PECOS Enrollment ID||I20100816001025|
|Accepts Medicare Assignment?|| Yes "What does it mean "accepts medicare assignment"?|
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
|Eligible order / refer Part B Clinical Laboratory and Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||Yes|
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 89503 ZIP code area.
|New Patients Office Visits Costs *|
|Most Utilized Procedure Code for new patients office visits: 99203|
|Minimum New Patient Pricing||Maximum New Patient Pricing||Typical New Patient Pricing|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|Established Patients Office Visits Costs *|
|Most Utilized Procedure Code for established patients office visits: 99214|
|Minimum Established Patient Pricing||Maximum Established Patient Pricing||Typical Established Patient Pricing|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
|Quality Measure||Performance||Number of Patients|
|Documentation of Current Medications in the Medical Record||100%||20|
|Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration|
|Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan||65%||20|
|Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2|
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 15Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
- 14Administration of influenza virus vaccine (HCPCS:G0008)
- 11Urinalysis, manual test (HCPCS:81002)
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Zachary Baumgardner is affiliated with the following medical facilities:
|Hospital Name||Address||Phone||Hospital Type||CMS Certification Number (CCN)||Overall Rating|
|RENOWN REGIONAL MEDICAL CENTER||1155 MILL STREET|
RENO, NV 89502
|(775) 982-4100||Acute Care Hospitals||290001|
|SAINT MARY'S REGIONAL MEDICAL CENTER||235 W 6TH ST|
RENO, NV 89503
|(775) 770-3000||Acute Care Hospitals||290009|
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 8 + 0 + 24 = 41|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 - 41 = 9||9|
The NPI number 1003016809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
|NPI||Name / Type||Taxonomy||Address|
|1023005303||MRS. SHANNON L ZAMBONI MD |
|Family Medicine||601 RALSTON ST SUITE 100|
RENO, NV 89503
|1841287026||MR. THOMAS D OGARA MD |
|Family Medicine||601 RALSTON ST #100|
RENO, NV 89503
|1013240159||LADAWN M. TALBOTT, MD, APC |
|Plastic Surgery||601 RALSTON ST SUITE 200|
RENO, NV 89503
|1790861516||MS. CYNDI LEE BREWER PA-C |
|Physician Assistant (Medical)||601 RALSTON ST STE 100|
RENO, NV 89503
Frequently Asked Questions
What is Dr. Zachary Baumgardner MD NPI number?
The NPI number assigned to this healthcare provider is 1003016809, registered as an "individual" on July 19, 2007
Where is Dr. Zachary Baumgardner MD located?
The provider is located at 601 Ralston St Suite 100 Reno, Nv 89503 and the phone number is (775) 786-1110
Which is Dr. Zachary Baumgardner MD specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. Zachary Baumgardner MD have?
The provider has more than 16 years of experience.
Is Dr. Zachary Baumgardner MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Zachary Baumgardner MD?
Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $106.6 and an average copayment of 26.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Zachary Baumgardner MD?
The most common procedures or services performed by this practitioner are: Routine ekg using at least 12 leads including interpretation and report, Administration of influenza virus vaccine and Urinalysis, manual test.
Is Dr. Zachary Baumgardner MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: RENOWN REGIONAL MEDICAL CENTER and SAINT MARY'S REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Zachary Baumgardner MD was last updated on July 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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