PATRICIA R BAUMANN MD
NPI 1407349152
Psychiatry & Neurology - Psychiatry in Springfield, IL

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
3225 HEDLEY RD, SPRINGFIELD, IL 62711(217) 726-7300(217) 726-5989 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patricia R Baumann Md NPPES

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

PATRICIA R BAUMANN MD (NPI 1407349152) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (036155851) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1407349152
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePATRICIA R BAUMANNCredential: MD
Location Address3225 HEDLEY RDSpringfield, IL 62711-6248
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 726-7300 · Fax (217) 726-5989
Fax(217) 726-5989
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateJune 7, 2018
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
NPI 1407349152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in IL · 036155851
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3225 HEDLEY RD, Springfield, IL 62711

Secondary Practice Location 1

Location 1901 W Jefferson StSpringfield, IL 62702-4833 · Phone (217) 545-8229 · Fax (217) 545-2275

Other Identifiers 1

Other036155851IL · Md License

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

Patricia R Baumann Md 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 ID8426305046
PECOS Enrollment IDI20220817003648
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 2

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 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.
127 services36 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
123 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

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.

Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Counselor (Professional)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711

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 Patricia Baumann's NPI number?

The NPI number for Patricia Baumann is 1407349152. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Patricia Baumann located?

Patricia Baumann practices at 3225 Hedley Rd, Springfield, IL 62711. The listed phone number is (217) 726-7300.

What is Patricia Baumann's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Patricia Baumann enrolled in Medicare?

Yes. Patricia 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.

When was this NPI record last updated?

The NPPES record for Patricia Baumann was last updated on August 23, 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.