DR. ANDREW BAUMGARTNER M.D.
NPI 1144603515
Psychiatry & Neurology - Psychiatry in Omaha, NE

Q: What is Andrew Baumgartner's NPI number?

The NPI number for Andrew Baumgartner is 1144603515. It was assigned to this individual provider in the NPPES registry on July 3, 2015.

Q: What is Andrew Baumgartner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 03, 2015PECOS EnrolledAccepts Medicare Assignment

42ND @ DEWEY ST, OMAHA, NE 68198(402) 552-6007 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Andrew Baumgartner M.d. NPPES

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

DR. ANDREW BAUMGARTNER M.D. (NPI 1144603515) is an individual psychiatry provider in Omaha, Nebraska, licensed in Nebraska (29997) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2015).

NPPES Registry Identity

NPI1144603515

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ANDREW BAUMGARTNERCredential: M.D.

Location Address42ND @ DEWEY STOmaha, NE 68198-1023

Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102

Phone(402) 552-6007

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015

Enumeration DateJuly 3, 2015

Last NPPES UpdateApril 30, 2019

✔ NPI 1144603515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NE · 29997✔ Licensed in NE · 7421

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

42ND @ DEWEY ST, Omaha, NE 68198

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Andrew 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 ID941598833

PECOS Enrollment IDI20170929001211

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 10

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.

227 services83 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

122 services54 patients

Therapy using electrical currents 90870

Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.

92 services13 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

42 services42 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

35 services19 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

35 services15 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280013

Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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

$160.21 typical visit price

range $52.69 – $160.21

Typical copayment $40.05 (range $13.17 – $40.05)

Most-billed visit code 99205

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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 20

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

DR. KENNETH ZOUCHA MD

Pediatrics