DR. DONALD PETER BAUMANN M.D.
NPI 1417971409
Surgery - Plastic and Reconstructive Surgery in Houston, TX
About Dr. Donald Peter Baumann M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONALD PETER BAUMANN M.D. (NPI 1417971409) is an individual plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (M1501) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Donald Peter 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.
Medicare Billing Reassignment
Medicare enrollment records show Donald Baumann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,675 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.
Areas of Expertise CMS Part B claims
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.
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.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Donald Baumann's NPI number?
The NPI number for Donald Baumann is 1417971409. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Donald Baumann located?
Donald Baumann practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.
What is Donald Baumann's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Donald Baumann enrolled in Medicare?
Yes. Donald 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.
Which organization bills Medicare for Donald Baumann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Baumann reassigns Medicare benefits to Physicians Referral Service (Houston, TX). The 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 Donald Baumann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Baumann accept?
Health plans from Antidote Health of TX and Harbor Health list Donald 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.
When was this NPI record last updated?
The NPPES record for Donald Baumann was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Dr. Donald Peter Baumann, M.D. · NPI 1417971409
Plastic and Reconstructive Surgery physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1417971409 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** M1501 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 HOLCOMBE BLVD, Houston, TX 77030-4000
- **Phone:** (713) 792-6161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physicians Referral Service (NPI 1073574810, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1998
## Record status
- **NPPES last updated:** November 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417971409) · Data from the CMS NPPES public registry.