JAMES BAUMGARTNER M.D.
NPI 1306878806
Neurological Surgery in Orlando, FL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
615 E PRINCETON ST, SUITE 540, ORLANDO, FL 32803(407) 236-0006(407) 236-0007 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Baumgartner M.d. NPPES

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

JAMES BAUMGARTNER M.D. (NPI 1306878806) is an individual neurological surgery provider in Orlando, Florida, licensed in New Jersey (25MA13167200) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1306878806
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJAMES BAUMGARTNERCredential: M.D.
Location Address615 E PRINCETON ST, SUITE 540Orlando, FL 32803-1456
Mailing Address615 E Princeton St, Suite 540Orlando, FL 32803-1456 · (407) 236-0006 · Fax (407) 236-0007
Fax(407) 236-0007
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1306878806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in NJ · 25MA13167200✔ Licensed in TX · J2492✔ Licensed in FL · ME110809
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
615 E PRINCETON ST, Orlando, FL 32803

Other Identifiers 6

Medicaid138323414TX
Other14J12FL · Bcbs
Other100059870AOK · Oklahoma Medicaid
Other8W5624TX · Bcbs
Other138323415TX · Cshcn Medicaid
Medicaid003974300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James 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 ID2961404090
PECOS Enrollment IDI20260723005098
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Baumgartner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
Pediatric Surgery
1 ROBERT WOOD JOHNSON PL STE 2100
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

Dietitian, Registered
615 E PRINCETON ST
ORLANDO, FL 32803
Obstetrics & Gynecology (Maternal & Fetal Medicine)
615 E PRINCETON ST, SUITE 240
ORLANDO, FL 32803
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
615 E PRINCETON ST, STE 225
ORLANDO, FL 32803
Nurse Practitioner
615 E PRINCETON ST, SUITE 416
ORLANDO, FL 32803
Nurse Practitioner (Pediatrics)
615 E PRINCETON ST, SUITE 310
ORLANDO, FL 32803
Psychiatry & Neurology (Neurology)
615 E PRINCETON ST, SUITE 540
ORLANDO, FL 32803
Psychologist (Clinical)
615 E PRINCETON ST, SUITE 410
ORLANDO, FL 32803
Urology (Pediatric Urology)
615 E PRINCETON ST, STE 310
ORLANDO, FL 32803

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 James Baumgartner's NPI number?

The NPI number for James Baumgartner is 1306878806. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is James Baumgartner located?

James Baumgartner practices at 615 E Princeton St Suite 540, Orlando, FL 32803. The listed phone number is (407) 236-0006.

What is James Baumgartner's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is James Baumgartner enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Baumgartner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Baumgartner reassigns Medicare benefits to 2 organizations: Florida Hospital Medical Group Inc (Orlando, FL) and Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Baumgartner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Baumgartner was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.