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BRITTANY BAUMGARTNER PA
NPI 1013529023
Physician Assistant in Stuart, FL

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1050 SE MONTEREY RD STE 201, STUART, FL 34994(772) 678-7043 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brittany Baumgartner Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRITTANY BAUMGARTNER PA (NPI 1013529023) is an individual physician assistant in Stuart, Florida and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1013529023
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRITTANY BAUMGARTNERCredential: PA
Location Address1050 SE MONTEREY RD STE 201Stuart, FL 34994-4512
Mailing Address1050 Se Monterey Rd Ste 201Stuart, FL 34994-4512 · (772) 678-7043
Phone(772) 678-7043
Sole ProprietorYes
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2019
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1013529023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1050 SE MONTEREY RD STE 201, Stuart, FL 34994
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brittany Baumgartner Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517386592
PECOS Enrollment IDI20241011001765
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
56 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brittany Baumgartner's NPI number?

The NPI number for Brittany Baumgartner is 1013529023. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Brittany Baumgartner located?

Brittany Baumgartner practices at 1050 SE Monterey Rd Ste 201, Stuart, FL 34994. The listed phone number is (772) 678-7043.

What is Brittany Baumgartner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brittany Baumgartner enrolled in Medicare?

Yes. Brittany Baumgartner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brittany Baumgartner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Brittany Baumgartner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brittany Baumgartner affiliated with any hospitals?

According to CMS data, Brittany Baumgartner is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Brittany Baumgartner was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.