Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL BRANDON BAULE DO
NPI 1073928586
Family Medicine in Los Gatos, CA

Active since June 23, 2014PECOS Enrolled
88.13/100
CMS Quality Rating
15425 LOS GATOS BLVD STE 120, LOS GATOS, CA 95032(408) 340-5700(408) 358-3430 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Jun 11, 2024 (2 updates tracked since 2024).

About Michael Brandon Baule Do NPPES

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

MICHAEL BRANDON BAULE DO (NPI 1073928586) is an individual family medicine provider in Los Gatos, California, licensed in Minnesota (64795) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2014).

NPPES Registry Identity

NPI1073928586
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL BRANDON BAULECredential: DO
Location Address15425 LOS GATOS BLVD STE 120Los Gatos, CA 95032-2541
Mailing Address15425 Los Gatos Blvd Ste 120Los Gatos, CA 95032-2541 · (408) 340-5700 · Fax (408) 358-3430
Fax(408) 358-3430
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1073928586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 64795✔ Licensed in CA · 20A20460✔ Licensed in NE · 7280
Definition
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.
15425 LOS GATOS BLVD STE 120, Los Gatos, CA 95032

Secondary Practice Locations 2

Location 115425 Los Gatos Blvd Ste 120Los Gatos, CA 95032-2541 · Phone (408) 340-5700 · Fax (408) 358-3430
Location 2983075 Nebraska Medical CtrOmaha, NE 68198-3075 · Phone (402) 559-5641 · Fax (402) 559-6501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Brandon Baule Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496975377
PECOS Enrollment IDI20230323002789
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

4

Medicare enrollment records show Michael Baule reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
Internal Medicine
7999 GATEWAY BLVD STE 200
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
Critical Access
300 S BYRON BLVD
Chamberlain, SD 57325
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
286 services210 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.
135 services124 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.
40 services40 patients
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.
28 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95032 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
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.

88.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.73
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims23 services$21.16 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$44.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$118.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Family Medicine
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Physician Assistant
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Family Medicine
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Family Medicine
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Physician Assistant
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Family Medicine
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032
Family Medicine
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032

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 Michael Baule's NPI number?

The NPI number for Michael Baule is 1073928586. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Michael Baule located?

Michael Baule practices at 15425 Los Gatos Blvd Ste 120, Los Gatos, CA 95032. The listed phone number is (408) 340-5700.

What is Michael Baule's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Baule enrolled in Medicare?

Yes. Michael Baule is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Baule's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baule reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Santa Clara, CA), Stanford Health Care (Stanford, CA), University Healthcare Alliance (Newark, CA) and Sanford Health Network (Chamberlain, SD). 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 Michael Baule's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Baule accept?

Health plans from Medica and Sanford Health Plan list Michael Baule 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.

When was this NPI record last updated?

The NPPES record for Michael Baule was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.