ERIN MARIE BAUMGARTNER M.D.
NPI 1215381611
Pathology - Anatomic Pathology & Clinical Pathology in Loveland, CO

Q: What is Erin Baumgartner's NPI number?

The NPI number for Erin Baumgartner is 1215381611. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Q: What is Erin Baumgartner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Erin Baumgartner was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment

81.65/100

CMS Quality Rating

5802 WRIGHT DR, LOVELAND, CO 80538(970) 212-0530(410) 933-1390 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 3, 2022, May 16, 2022 (2 updates tracked since 2022).

On this page

About Erin Marie Baumgartner M.d. NPPES

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

ERIN MARIE BAUMGARTNER M.D. (NPI 1215381611) is an individual anatomic pathology & clinical pathology provider in Loveland, Colorado, licensed in Colorado (DR.0068693) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215381611

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameERIN MARIE BAUMGARTNERCredential: M.D.

Location Address5802 WRIGHT DRLoveland, CO 80538-8806

Mailing Address5802 Wright DrLoveland, CO 80538-8806 · (970) 212-0530 · Fax (410) 933-1390

Phone(970) 212-0530

Fax(410) 933-1390

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 21, 2016

Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration

NPPES CertifiedNovember 3, 2022

✔ NPI 1215381611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in CO · DR.0068693✔ Licensed in MD · D91126

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

5802 WRIGHT DR, Loveland, CO 80538

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14940 Eastern AveBaltimore, MD 21224-2735 · Phone (410) 955-1180 · Fax (410) 614-9556

Location 2625 19th Street SouthBirmingham, AL 35249 · Phone (205) 934-4303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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

Erin Marie 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 ID4880972173

PECOS Enrollment IDI20221103002308, I20221104000261

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 34

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.

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

658 services109 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

493 services283 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

279 services120 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

215 services38 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

191 services104 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

162 services133 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

113 services48 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

98 services21 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

89 services85 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

75 services60 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

74 services51 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

67 services48 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

65 services30 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

65 services56 patients

Microscopic genetic analysis of tumor, manual 88360

65 services39 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

62 services58 patients

Special stained specimen slides to examine tissue, initial procedure 88342

57 services42 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

41 services39 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

40 services35 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

38 services21 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

33 services20 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

30 services11 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

28 services17 patients

Evaluation of fine needle aspirate with interpretation and report 88173

26 services13 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

26 services13 patients

Evaluation of fine needle aspirate 88172

24 services12 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

23 services16 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

23 services13 patients

Immunologic analysis technique on body fluid 86325

Immunologic analysis is a process that examines body fluids to identify and measure substances that help your body defend against diseases. It uses specialized lab techniques to understand your immune system better, aiding in diagnosis and treatment.

22 services20 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

18 services16 patients

Preparation of tissue for examination by removing any calcium present 88311

14 services12 patients

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure 88377

Microscopic genetic analysis of tissue is a detailed lab process that examines your cells' genetic material. If more than one stain procedure is needed, it's termed an 'additional multiplex stain procedure'. This helps to highlight different components within your cells, aiding in accurate diagnosis and treatment planning.

14 services13 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

14 services13 patients

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure 88377

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number530014

Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

81.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.42

Improvement Activities

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. NARINA GROVE MD

Pathology (Dermatopathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 212-0530

CATHERINE C PIZZI MD

Pathology (Anatomic Pathology & Clinical Pathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (800) 920-6227

ROSS BARNER MD

Pathology (Anatomic Pathology & Clinical Pathology)

5802 WRIGHT DR, SUMMIT PATHOLOGY
LOVELAND, CO 80538

Larimer County (970) 212-0530

JAKUB STEFKA M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 212-0530

DR. CARLO MICHELANGELO VALENTINO M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 212-0530

MICHAEL JUSTIN MCFALL D.O.

Pathology (Dermatopathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 212-0530

ARLENE L. LIBBY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 635-4126

DR. CRISTINA SMITH MCLAUGHLIN MD

Pathology (Anatomic Pathology & Clinical Pathology)

5802 WRIGHT DR
LOVELAND, CO 80538

Larimer County (970) 212-0530

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 Erin Baumgartner's NPI number?

The NPI number for Erin Baumgartner is 1215381611. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Erin Baumgartner located?

Erin Baumgartner practices at 5802 Wright Dr, Loveland, CO 80538. The listed phone number is (970) 212-0530.

What is Erin Baumgartner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Erin Baumgartner enrolled in Medicare?

Yes. Erin 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 Erin Baumgartner accept?

Health plans from Blue Cross Blue Shield of Wyoming list Erin 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 Erin Baumgartner affiliated with any hospitals?

According to CMS data, Erin Baumgartner is affiliated with Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Erin Baumgartner was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.