DR. MARGARET A BAUMGARTEN M.D.
NPI 1023096559
Family Medicine in Portsmouth, VA
About Dr. Margaret A Baumgarten M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARGARET A BAUMGARTEN M.D. (NPI 1023096559) is an individual family medicine provider in Portsmouth, Virginia, licensed in Virginia (0101231807) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Margaret A Baumgarten M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Margaret Baumgarten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norfolk, VA 23508
- Reassigned Medicare billing, Virginia enrollment
- 267 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Norfolk General Hospital
Acute Care Hospitals · Norfolk, VABon Secours Maryview Medical Center
Acute Care Hospitals · Portsmouth, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23707
PORTSMOUTH, VA 23707
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 Margaret Baumgarten's NPI number?
The NPI number for Margaret Baumgarten is 1023096559. It was assigned to this individual provider in the NPPES registry on January 5, 2006.
Where is Margaret Baumgarten located?
Margaret Baumgarten practices at 3640 High St Ste 3B, Portsmouth, VA 23707. The listed phone number is (757) 397-6344.
What is Margaret Baumgarten's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Margaret Baumgarten enrolled in Medicare?
Yes. Margaret Baumgarten 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.
Which organization bills Medicare for Margaret Baumgarten's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Baumgarten reassigns Medicare benefits to Evms Academic Physicians And Surgeons Health Services Foundation (Norfolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margaret Baumgarten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Margaret Baumgarten affiliated with any hospitals?
According to CMS data, Margaret Baumgarten is affiliated with Sentara Norfolk General Hospital and Bon Secours Maryview Medical Center.
When was this NPI record last updated?
The NPPES record for Margaret Baumgarten was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Margaret A Baumgarten, M.D. · NPI 1023096559
Family Medicine physician in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since January 5, 2006.
## Identity
- **NPI:** 1023096559 (Entity type: Individual)
- **Enumerated:** January 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101231807 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3640 HIGH ST STE 3B, Portsmouth, VA 23707-3213
- **Phone:** (757) 397-6344 · **Fax:** (757) 606-1185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Evms Academic Physicians And Surgeons Health Services Foundation (NPI 1003887118, Norfolk, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** March 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1023096559) · Data from the CMS NPPES public registry.