KATHLEEN A. BAUGRUD M.D.
NPI 1184678914
Internal Medicine in Milwaukee, WI

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
788 N JEFFERSON ST, SUITE 300, MILWAUKEE, WI 53202(414) 272-8950(414) 272-0859 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen A. Baugrud M.d. NPPES

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

KATHLEEN A. BAUGRUD M.D. (NPI 1184678914) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (27546) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1985).

NPPES Registry Identity

NPI1184678914
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHLEEN A. BAUGRUDCredential: M.D.
Location Address788 N JEFFERSON ST, SUITE 300Milwaukee, WI 53202-3718
Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Fax(414) 272-0859
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1985
Enumeration DateMay 19, 2006
Last NPPES UpdateNovember 7, 2016
NPI 1184678914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 27546
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.
788 N JEFFERSON ST, Milwaukee, WI 53202

Other Identifiers 2

Medicaid1184678914WI
Medicare PIN000273645WI

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

Kathleen A. Baugrud 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 ID4385779248
PECOS Enrollment IDI20100317000289
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.
278 services197 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.
159 services159 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.
124 services90 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.
44 services40 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
28 services28 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims39 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims14 services$1.12 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
1 supplier12 claims12 services$64.14 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.12 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 16

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

Pharmacy (Community/Retail Pharmacy)
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Occupational Therapist
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Internal Medicine (Gastroenterology)
788 N JEFFERSON ST, SUITE 401
MILWAUKEE, WI 53202
Obstetrics & Gynecology (Gynecology)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202

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 Kathleen Baugrud's NPI number?

The NPI number for Kathleen Baugrud is 1184678914. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kathleen Baugrud located?

Kathleen Baugrud practices at 788 N Jefferson St Suite 300, Milwaukee, WI 53202. The listed phone number is (414) 272-8950.

What is Kathleen Baugrud's specialty?

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

Is Kathleen Baugrud enrolled in Medicare?

Yes. Kathleen Baugrud 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 Kathleen Baugrud accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kathleen Baugrud 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 Kathleen Baugrud affiliated with any hospitals?

According to CMS data, Kathleen Baugrud is affiliated with Waukesha Memorial Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital, Froedtert Memorial Lutheran Hospital and Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Kathleen Baugrud was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.