WILLIAM H BAUMGARTL MD
NPI 1528004496
Pain Medicine - Interventional Pain Medicine in Las Vegas, NV

Q: What is William Baumgartl's NPI number?

The NPI number for William Baumgartl is 1528004496. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is William Baumgartl's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for William Baumgartl was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment

91.15/100

CMS Quality Rating

4454 N DECATUR BLVD, LAS VEGAS, NV 89130(702) 839-1203(702) 839-1301 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Jan 11, 2022, Jul 12, 2019 and 1 more (4 updates tracked since 2016).

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About William H Baumgartl Md NPPES

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

WILLIAM H BAUMGARTL MD (NPI 1528004496) is an individual interventional pain medicine provider in Las Vegas, Nevada, licensed in California (G067802) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1987).

NPPES Registry Identity

NPI1528004496

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameWILLIAM H BAUMGARTLCredential: MD

Location Address4454 N DECATUR BLVDLas Vegas, NV 89130

Mailing Address4454 N Decatur BlvdLas Vegas, NV 89130 · (702) 507-0983 · Fax (702) 839-1301

Phone(702) 839-1203

Fax(702) 839-1301

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1987

Enumeration DateJune 21, 2006

Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2022

✔ NPI 1528004496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in CA · G067802

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License G67802 (CA)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 13914 (NV), G067802 (CA)

Also ListedDermatologyTaxonomy 207N00000X · License G067802 (CA)

4454 N DECATUR BLVD, Las Vegas, NV 89130

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Other Identifiers 1

Other00G678020CA · Bs Of Ca

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

William H Baumgartl 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 ID3678530342

PECOS Enrollment IDI20110725000698

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 6

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 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.

217 services94 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.

79 services55 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

21 services19 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89130 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

91.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

49.59

Other Providers at the Same Location NPPES 12

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

CENTENNIAL MEDICAL GROUP LLP

Pain Medicine (Interventional Pain Medicine)