JOEL J BAUMGARTNER M.D.
NPI 1184679607
Family Medicine - Sports Medicine in Waite Park, MN

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
901 3RD ST N, WAITE PARK, MN 56387(320) 217-8480(320) 217-8490 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2020, Nov 12, 2019 (2 updates tracked since 2019).

About Joel J Baumgartner M.d. NPPES

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

JOEL J BAUMGARTNER M.D. (NPI 1184679607) is an individual sports medicine provider in Waite Park, Minnesota, licensed in Minnesota (43368) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hutchinson Health, and is a graduate of University Of North Dakota School Of Medicine (1999).

NPPES Registry Identity

NPI1184679607
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJOEL J BAUMGARTNERCredential: M.D.
Location Address901 3RD ST NWaite Park, MN 56387-1964
Mailing Address901 3rd St NWaite Park, MN 56387-1964 · (320) 217-8480 · Fax (320) 217-8490
Fax(320) 217-8490
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1999
Enumeration DateMay 23, 2006
Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration
NPI 1184679607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in MN · 43368
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
901 3RD ST N, Waite Park, MN 56387

Other Identifiers 1

Medicaid1184679607MN

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

Joel J 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 ID3971583675
PECOS Enrollment IDI20040722001301
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 19

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.

Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
127 services63 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
124 services60 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.
89 services63 patients
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.
48 services40 patients
Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
47 services38 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
39 services30 patients

Hospital Affiliations CMS Care Compare

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

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240187
Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56387 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 14

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

Clinic/Center (Medical Specialty)
901 3RD ST N
WAITE PARK, MN 56387
Internal Medicine
901 3RD ST N
WAITE PARK, MN 56387
Nurse Practitioner
901 3RD ST N
WAITE PARK, MN 56387
Physician Assistant
901 3RD ST N
WAITE PARK, MN 56387
Physical Therapist (Orthopedic)
901 3RD ST N
WAITE PARK, MN 56387
Nurse Practitioner
901 3RD ST N
WAITE PARK, MN 56387
Physical Therapist (Orthopedic)
901 3RD ST N
WAITE PARK, MN 56387
Specialist/Technologist (Athletic Trainer)
901 3RD ST N
WAITE PARK, MN 56387

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 Joel Baumgartner's NPI number?

The NPI number for Joel Baumgartner is 1184679607. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Joel Baumgartner located?

Joel Baumgartner practices at 901 3rd St N, Waite Park, MN 56387. The listed phone number is (320) 217-8480.

What is Joel Baumgartner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Joel Baumgartner enrolled in Medicare?

Yes. Joel 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.

What insurance does Joel Baumgartner accept?

Health plans from Medica and Sanford Health Plan list Joel 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 Joel Baumgartner affiliated with any hospitals?

According to CMS data, Joel Baumgartner is affiliated with Hutchinson Health.

When was this NPI record last updated?

The NPPES record for Joel Baumgartner was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.