MARGARET A KAISER M.D.
NPI 1396732129
Internal Medicine in Oakland, MD

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
251 N 4TH ST, OAKLAND, MD 21550(301) 533-4000(301) 895-8751 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2018, May 18, 2018, Apr 26, 2017 (3 updates tracked since 2017).

About Margaret A Kaiser M.d. NPPES

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

MARGARET A KAISER M.D. (NPI 1396732129) is an individual internal medicine provider in Oakland, Maryland, licensed in Maryland (D26650) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (1979).

NPPES Registry Identity

NPI1396732129
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARGARET A KAISERCredential: M.D.
Location Address251 N 4TH STOakland, MD 21550
Mailing AddressPo Box 594Oakland, MD 21550-4594 · (301) 895-8750 · Fax (301) 895-8751
Fax(301) 895-8751
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1979
Enumeration DateOctober 6, 2005
Last NPPES UpdateMay 21, 20183 updates tracked since enumeration
NPI 1396732129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D26650 Licensed in WV · 13770
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
251 N 4TH ST, Oakland, MD 21550

Other Identifiers 2

Medicaid0083820000WV
Medicaid264471100MD

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

Margaret A Kaiser 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 ID2163599515
PECOS Enrollment IDI20081029000379
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 10

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
98 services91 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
85 services78 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
62 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services17 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.
29 services14 patients

Hospital Affiliations CMS Care Compare

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers109 claims109 services$42.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers126 claims126 services$112.10 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers168 claims364 services$38.85 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers82 claims328 services$20.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers20 claims118 services$18.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers72 claims72 services$66.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
251 N 4TH ST
OAKLAND, MD 21550
Nurse Practitioner (Family)
251 N 4TH ST
OAKLAND, MD 21550
Nurse Anesthetist, Certified Registered
251 N 4TH ST
OAKLAND, MD 21550
Physician Assistant
251 N 4TH ST
OAKLAND, MD 21550
Emergency Medicine
251 N 4TH ST
OAKLAND, MD 21550
Physician Assistant
251 N 4TH ST
OAKLAND, MD 21550
Anesthesiology
251 N 4TH ST
OAKLAND, MD 21550
Physician Assistant
251 N 4TH ST
OAKLAND, MD 21550

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 Margaret Kaiser's NPI number?

The NPI number for Margaret Kaiser is 1396732129. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Margaret Kaiser located?

Margaret Kaiser practices at 251 N 4th St, Oakland, MD 21550. The listed phone number is (301) 533-4000.

What is Margaret Kaiser's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Margaret Kaiser enrolled in Medicare?

Yes. Margaret Kaiser 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 Margaret Kaiser accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Margaret Kaiser 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 Margaret Kaiser affiliated with any hospitals?

According to CMS data, Margaret Kaiser is affiliated with Garrett Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Kaiser was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.