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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MEGAN M BAUMGARDNER DO
NPI 1447511399
Psychiatry & Neurology - Neurology in Lenexa, KS

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
23401 PRAIRIE STAR PKWY STE 230B, LENEXA, KS 66227(913) 632-9480(913) 632-9828 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2026, Dec 12, 2022 (2 updates tracked since 2022).

About Dr. Megan M Baumgardner Do NPPES

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

DR. MEGAN M BAUMGARDNER DO (NPI 1447511399) is an individual neurology provider in Lenexa, Kansas, licensed in Kansas (05-39087) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2012).

NPPES Registry Identity

NPI1447511399
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MEGAN M BAUMGARDNERCredential: DO
Location Address23401 PRAIRIE STAR PKWY STE 230BLenexa, KS 66227-7268
Mailing Address23401 Prairie Star Pkwy Ste 230bLenexa, KS 66227-7268 · (913) 632-9480 · Fax (913) 632-9828
Phone(913) 632-9480
Fax(913) 632-9828
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2012
Enumeration DateJune 6, 2012
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1447511399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in KS · 05-39087✔ Licensed in MO · 2022008927✔ Licensed in KS · 9407929
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
23401 PRAIRIE STAR PKWY STE 230B, Lenexa, KS 66227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.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. Megan M Baumgardner Do 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 ID3577860378
PECOS Enrollment IDI20160729000072
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 Reassignment

Medicare enrollment records show Megan Baumgardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shawnee Mission Medical Center Inc
6.8 mi
Family Medicine
15710 W 135TH ST STE 200
Olathe, KS 66062
  • Reassigned Medicare billing, Kansas enrollment
  • 384 clinicians in this Medicare group
NPI 1326551144 (913) 297-7472

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 4

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.

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
358 services303 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.
60 services58 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.
26 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66227 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOOT SPECIALISTS OF KANSAS CITY, PA
Podiatrist
23401 PRAIRIE STAR PKWY STE 230B
LENEXA, KS 66227
Johnson County (816) 455-1155

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 Megan Baumgardner's NPI number?

The NPI number for Megan Baumgardner is 1447511399. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Megan Baumgardner located?

Megan Baumgardner practices at 23401 Prairie Star Pkwy Ste 230B, Lenexa, KS 66227. The listed phone number is (913) 632-9480.

What is Megan Baumgardner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Megan Baumgardner enrolled in Medicare?

Yes. Megan Baumgardner 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 Megan Baumgardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Baumgardner reassigns Medicare benefits to Shawnee Mission Medical Center Inc (Olathe, KS). 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 Megan Baumgardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Baumgardner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Megan Baumgardner 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 Megan Baumgardner affiliated with any hospitals?

According to CMS data, Megan Baumgardner is affiliated with Adventhealth Shawnee Mission, Saint Luke's South Hospital, Saint Lukes North Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Megan Baumgardner was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.