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BRIAN JAMES BAUMGARTNER M.D.
NPI 1033181706
Otolaryngology in Placerville, CA

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
4300 GOLDEN CENTER DR STE D, PLACERVILLE, CA 95667(530) 344-2000(530) 748-0333 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Aug 13, 2019, Jan 14, 2019 (3 updates tracked since 2019).

About Brian James Baumgartner M.d. NPPES

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

BRIAN JAMES BAUMGARTNER M.D. (NPI 1033181706) is an individual otolaryngology provider in Placerville, California, licensed in California (A74453) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Connally Memorial Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1033181706
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBRIAN JAMES BAUMGARTNERCredential: M.D.
Location Address4300 GOLDEN CENTER DR STE DPlacerville, CA 95667-6278
Mailing AddressPo Box 45680San Francisco, CA 94145-0680 · (530) 344-2000
Phone(530) 344-2000
Fax(530) 748-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 6, 2006
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1033181706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A74453
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4300 GOLDEN CENTER DR STE D, Placerville, CA 95667
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Brian James Baumgartner 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.

PECOS PAC ID7517096407
PECOS Enrollment IDI20110829000411, I20241106002070
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95667 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY KRISTINE MONDANI AU.D.
Audiologist-Hearing Aid Fitter
4300 GOLDEN CENTER DR STE D
PLACERVILLE, CA 95667
El Dorado County (530) 344-2001
MR. L. MARK PAYNE M.S.
Audiologist-Hearing Aid Fitter
4300 GOLDEN CENTER DR STE D
PLACERVILLE, CA 95667
El Dorado County (530) 344-2010
EL DORADO HEARING CENTER, INC.
Audiologist
4300 GOLDEN CENTER DR STE D
PLACERVILLE, CA 95667
El Dorado County (530) 344-2010

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 Brian Baumgartner's NPI number?

The NPI number for Brian Baumgartner is 1033181706. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Brian Baumgartner located?

Brian Baumgartner practices at 4300 Golden Center Dr Ste D, Placerville, CA 95667. The listed phone number is (530) 344-2000.

What is Brian Baumgartner's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Baumgartner enrolled in Medicare?

Yes. Brian 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 Brian Baumgartner accept?

Health plans from Blue Cross and Blue Shield of Texas list Brian 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 Brian Baumgartner affiliated with any hospitals?

According to CMS data, Brian Baumgartner is affiliated with Connally Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Baumgartner was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.