DR. PATRICK DALTON BAUMANN M.D.
NPI 1114365384
Internal Medicine in Louisville, KY

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3950 KRESGE WAY, #308, LOUISVILLE, KY 40207(502) 895-8911(502) 895-8977 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2016, Aug 19, 2016, Jun 23, 2016 (3 updates tracked since 2016).

About Dr. Patrick Dalton Baumann M.d. NPPES

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

DR. PATRICK DALTON BAUMANN M.D. (NPI 1114365384) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (49487) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (2013).

NPPES Registry Identity

NPI1114365384
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PATRICK DALTON BAUMANNCredential: M.D.
Location Address3950 KRESGE WAY, #308Louisville, KY 40207-4637
Mailing AddressPo Box 9203Belfast, ME 04915-9203 · (502) 895-9627 · Fax (502) 895-8977
Fax(502) 895-8977
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateOctober 11, 20163 updates tracked since enumeration
NPI 1114365384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 49487
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3950 KRESGE WAY, Louisville, KY 40207

Other Identifiers 1

Medicaid7100309310KY

Accepted 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

Dr. Patrick Dalton Baumann 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 ID4587965405
PECOS Enrollment IDI20161114002155
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 4

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 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.
683 services401 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
333 services196 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
275 services272 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
265 services260 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%601 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier32 claims32 services$44.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers58 claims58 services$13.94 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
4 suppliers67 claims67 services$60.46 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 20

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

Hospitalist
3950 KRESGE WAY, SUITE 203
LOUISVILLE, KY 40207
Surgery
3950 KRESGE WAY, STE 100
LOUISVILLE, KY 40207
Dermatology
3950 KRESGE WAY, SUITE 305
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY, SUITE 104
LOUISVILLE, KY 40207
Hospitalist
3950 KRESGE WAY, SUITE 203
LOUISVILLE, KY 40207
Social Worker (Clinical)
3950 KRESGE WAY
LOUISVILLE, KY 40207
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3950 KRESGE WAY, STE 303
LOUISVILLE, KY 40207
Audiologist-Hearing Aid Fitter
3950 KRESGE WAY, #402
LOUISVILLE, KY 40207

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 Patrick Baumann's NPI number?

The NPI number for Patrick Baumann is 1114365384. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Patrick Baumann located?

Patrick Baumann practices at 3950 Kresge Way #308, Louisville, KY 40207. The listed phone number is (502) 895-8911.

What is Patrick Baumann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick Baumann enrolled in Medicare?

Yes. Patrick Baumann 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 Patrick Baumann accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Patrick Baumann 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 Patrick Baumann affiliated with any hospitals?

According to CMS data, Patrick Baumann is affiliated with Jewish Hospital & St Mary's Healthcare and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Patrick Baumann was last updated on October 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.