KENT WILLIAM BAUMANN M.D.
NPI 1316999725
Ophthalmology in Dubuque, IA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
1500 ASSOCIATES DR, DUBUQUE, IA 52002(563) 584-4415(563) 584-4195 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent William Baumann M.d. NPPES

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

KENT WILLIAM BAUMANN M.D. (NPI 1316999725) is an individual ophthalmology provider in Dubuque, Iowa, licensed in Iowa (23573) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1982).

NPPES Registry Identity

NPI1316999725
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENT WILLIAM BAUMANNCredential: M.D.
Location Address1500 ASSOCIATES DRDubuque, IA 52002-2201
Mailing Address1500 Associates DrDubuque, IA 52002-2201 · (563) 584-4100 · Fax (563) 584-4110
Fax(563) 584-4195
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1982
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 8, 2010
NPI 1316999725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IA · 23573 Licensed in WI · 27923
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1500 ASSOCIATES DR, Dubuque, IA 52002

Other Identifiers 3

Medicare ID-Type UnspecifiedI17168IA
Medicaid0037325IA
Medicare UPINA03130

Accepted 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

Kent William Baumann 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 ID7911914619
PECOS Enrollment IDI20060321000130, I20101108001464
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 14

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.
141 services140 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.
139 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services54 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
54 services37 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.
51 services33 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
49 services37 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160069
Location250 Mercy DriveDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52002 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

Physician Assistant
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Nurse Practitioner (Family)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dermatology
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Physical Medicine & Rehabilitation
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Nurse Anesthetist, Certified Registered
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Nurse Practitioner (Family)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Obstetrics & Gynecology
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Physician Assistant
1500 ASSOCIATES DR
DUBUQUE, IA 52002

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 Kent Baumann's NPI number?

The NPI number for Kent Baumann is 1316999725. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Kent Baumann located?

Kent Baumann practices at 1500 Associates Dr, Dubuque, IA 52002. The listed phone number is (563) 584-4415.

What is Kent Baumann's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kent Baumann enrolled in Medicare?

Yes. Kent Baumann 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 Kent Baumann accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Kent Baumann 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 Kent Baumann affiliated with any hospitals?

According to CMS data, Kent Baumann is affiliated with Mercyone Dubuque Medical Center.

When was this NPI record last updated?

The NPPES record for Kent Baumann was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.