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DR. ANTHONY LEE BAUMGARTNER O.D.
NPI 1215014535
Optometrist in Butte, MT

Active since November 01, 2006PECOS Enrolled
800 SAMPSON ST, BUTTE, MT 59701(406) 494-1700(406) 494-1040 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Lee Baumgartner O.d. NPPES

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

DR. ANTHONY LEE BAUMGARTNER O.D. (NPI 1215014535) is an individual optometrist in Butte, Montana, licensed in Montana (520) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1987).

NPPES Registry Identity

NPI1215014535
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANTHONY LEE BAUMGARTNERCredential: O.D.
Location Address800 SAMPSON STButte, MT 59701-3204
Mailing Address800 Sampson StButte, MT 59701-3204 · (406) 494-1700 · Fax (406) 494-1040
Phone(406) 494-1700
Fax(406) 494-1040
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1987
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 11, 2009
✔ NPI 1215014535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MT · 520
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
800 SAMPSON ST, Butte, MT 59701
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Other Identifiers 5

Other410014030MT · Railroad Medicare Number
Medicare ID-Type Unspecified000002856MT · Medicare Number
Medicare UPINT89284MT
Medicaid482040MT
Medicare NSC0176060001MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Lee Baumgartner O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062555766
PECOS Enrollment IDI20100203000441
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
222 services221 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
96 services61 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
82 services74 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
46 services46 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.
42 services35 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
36 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59701 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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 Anthony Baumgartner's NPI number?

The NPI number for Anthony Baumgartner is 1215014535. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Anthony Baumgartner located?

Anthony Baumgartner practices at 800 Sampson St, Butte, MT 59701. The listed phone number is (406) 494-1700.

What is Anthony Baumgartner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Anthony Baumgartner enrolled in Medicare?

Yes. Anthony Baumgartner is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Baumgartner accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Anthony 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.

When was this NPI record last updated?

The NPPES record for Anthony Baumgartner was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.