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SARA A BAUMGARTNER MD
NPI 1043654361
Obstetrics & Gynecology in South Bend, IN

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
6301 UNIVERSITY COMMONS STE 310, SOUTH BEND, IN 46635(574) 232-1471(574) 239-8511 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara A Baumgartner Md NPPES

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

SARA A BAUMGARTNER MD (NPI 1043654361) is an individual obstetrics & gynecology provider in South Bend, Indiana, licensed in Indiana (01077990A) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043654361
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSARA A BAUMGARTNERCredential: MD
Location Address6301 UNIVERSITY COMMONS STE 310South Bend, IN 46635-1479
Mailing Address6301 University Commons Ste 310South Bend, IN 46635-1479 · (574) 232-1471
Phone(574) 232-1471
Fax(574) 239-8511
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2013
Last NPPES UpdateJanuary 29, 2018
✔ NPI 1043654361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01077990A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6301 UNIVERSITY COMMONS STE 310, South Bend, IN 46635
Open in Google Maps ↗

Accepted Insurance

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

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

Sara A Baumgartner Md 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 ID3375859853
PECOS Enrollment IDI20170712002188
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Baumgartner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Joseph Regional Medical Center-South Bend Campus, Inc.
1.4 mi
Family Medicine
611 E DOUGLAS RD, STE 406, FAMILY MEDICINE FACULTY PHYSICIANS
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 216 clinicians in this Medicare group
NPI 1144580150 (574) 335-6580
The South Bend Clinic LLC
3.4 mi
Clinic/Center
211 N EDDY ST
South Bend, IN 46617
  • Reassigned Medicare billing, Indiana enrollment
  • 211 clinicians in this Medicare group
NPI 1073680419 (574) 299-2450

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 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.

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.
55 services31 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 2

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

OLIVIA PAPAI PRICE PA-C
Physician Assistant
6301 UNIVERSITY COMMONS STE 310
SOUTH BEND, IN 46635
St. Joseph County (147) 157-4232
SHANNON L ROACH NP
Nurse Practitioner (Family)
6301 UNIVERSITY COMMONS STE 310
SOUTH BEND, IN 46635
St. Joseph County (574) 299-2450

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 Sara Baumgartner's NPI number?

The NPI number for Sara Baumgartner is 1043654361. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Sara Baumgartner located?

Sara Baumgartner practices at 6301 University Commons Ste 310, South Bend, IN 46635. The listed phone number is (574) 232-1471.

What is Sara Baumgartner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sara Baumgartner enrolled in Medicare?

Yes. Sara 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.

Which organizations bill Medicare for Sara Baumgartner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Baumgartner reassigns Medicare benefits to 2 organizations: Saint Joseph Regional Medical Center-South Bend Campus, Inc. (Mishawaka, IN) and The South Bend Clinic LLC (South Bend, IN). Each 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 Sara Baumgartner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Baumgartner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Sara 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 Sara Baumgartner affiliated with any hospitals?

According to CMS data, Sara Baumgartner is affiliated with Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Sara Baumgartner was last updated on January 29, 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.