LANCE M BAUMGARTNER DPT
NPI 1194159798
Physical Therapist in Newton, NJ

Active since August 30, 2013Accepts Medicare Assignment
93.74/100
CMS Quality Rating
280 NEWTON SPARTA RD, STE 8, NEWTON, NJ 07860(973) 579-2957(973) 579-3321 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lance M Baumgartner Dpt NPPES

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

LANCE M BAUMGARTNER DPT (NPI 1194159798) is an individual physical therapist in Newton, New Jersey, licensed in New Jersey (40QA015156100) and active in the NPI registry since August 2013. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1194159798
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameLANCE M BAUMGARTNERCredential: DPT
Location Address280 NEWTON SPARTA RD, STE 8Newton, NJ 07860-2775
Mailing Address1377 Motor Pkwy, Ste 307Islandia, NY 11749-5258 · (631) 580-5200 · Fax (631) 580-5222
Fax(973) 579-3321
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 30, 2013
Last NPPES UpdateJanuary 29, 2018
NPI 1194159798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NJ · 40QA015156100
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

280 NEWTON SPARTA RD, Newton, NJ 07860

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

Lance M Baumgartner Dpt 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 ID1456586270
PECOS Enrollment IDI20131104001206

Areas of Expertise CMS Part B claims 5

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
962 services125 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
894 services118 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
836 services114 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
636 services88 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
70 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

93.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.63
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Physical Therapist
280 NEWTON SPARTA RD
NEWTON, NJ 07860
Physical Therapist
280 NEWTON SPARTA RD, SUITE 8
NEWTON, NJ 07860
Orthopaedic Surgery
280 NEWTON SPARTA RD, STE 4
NEWTON, NJ 07860
Physical Therapist
280 NEWTON SPARTA RD, STE 8
NEWTON, NJ 07860
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
280 NEWTON SPARTA RD
NEWTON, NJ 07860
Specialist
280 NEWTON SPARTA RD
NEWTON, NJ 07860
Orthopaedic Surgery (Sports Medicine)
280 NEWTON SPARTA RD, SUITE 4
NEWTON, NJ 07860
Orthopaedic Surgery
280 NEWTON SPARTA RD, STE 4
NEWTON, NJ 07860

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 Lance Baumgartner's NPI number?

The NPI number for Lance Baumgartner is 1194159798. It was assigned to this individual provider in the NPPES registry on August 30, 2013.

Where is Lance Baumgartner located?

Lance Baumgartner practices at 280 Newton Sparta Rd Ste 8, Newton, NJ 07860. The listed phone number is (973) 579-2957.

What is Lance Baumgartner's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lance Baumgartner enrolled in Medicare?

Yes. Lance 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.

When was this NPI record last updated?

The NPPES record for Lance Baumgartner was last updated on January 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.