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MR. MARK HOWARD BAUMGARTNER DMD , MS
NPI 1265593107
Dentist in Marshfield, WI

Active since December 13, 2006PECOS Enrolled
306 W. MCMILLAN ST., MARSHFIELD, WI 54449(715) 387-1702(715) 387-8174 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Mark Howard Baumgartner Dmd , Ms NPPES

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

MR. MARK HOWARD BAUMGARTNER DMD , MS (NPI 1265593107) is an individual dentist in Marshfield, Wisconsin, licensed in Wisconsin (6211-15) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265593107
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. MARK HOWARD BAUMGARTNERCredential: DMD , MS
Location Address306 W. MCMILLAN ST.Marshfield, WI 54449
Mailing Address306 W. Mcmillan St., Po Box 929Marshfied, WI 54449 · (715) 387-1702 · Fax (715) 387-8174
Phone(715) 387-1702
Fax(715) 387-8174
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 30, 2019
✔ NPI 1265593107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6211-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2005037623 (MO)
306 W. MCMILLAN ST., Marshfield, WI 54449
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Mr. Mark Howard Baumgartner Dmd , Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Mark Baumgartner's NPI number?

The NPI number for Mark Baumgartner is 1265593107. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Mark Baumgartner located?

Mark Baumgartner practices at 306 W. Mcmillan St., Marshfield, WI 54449. The listed phone number is (715) 387-1702.

What is Mark Baumgartner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Baumgartner enrolled in Medicare?

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

What insurance does Mark Baumgartner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Security Health Plan list Mark 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 Mark Baumgartner was last updated on December 30, 2019. 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.