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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. MIRIAM A. BAUMGART M.D.
NPI 1548490360
Family Medicine in Salem, IL

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1321 W WHITTAKER ST, SALEM, IL 62881(618) 548-3922(618) 548-7759 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2020, Sep 11, 2018, Aug 22, 2018 and 1 more (4 updates tracked since 2015).

About Dr. Miriam A. Baumgart M.d. NPPES

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

DR. MIRIAM A. BAUMGART M.D. (NPI 1548490360) is an individual family medicine provider in Salem, Illinois, licensed in Illinois (036122384) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2005).

NPPES Registry Identity

NPI1548490360
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIRIAM A. BAUMGARTCredential: M.D.
Location Address1321 W WHITTAKER STSalem, IL 62881-2013
Mailing Address1321 W Whittaker StSalem, IL 62881-2013 · (618) 548-3922 · Fax (618) 548-7759
Phone(618) 548-3922
Fax(618) 548-7759
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2005
Enumeration DateJuly 15, 2009
Last NPPES UpdateJune 30, 20264 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1548490360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036122384
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 36122384 (IL)
1321 W WHITTAKER ST, Salem, IL 62881
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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

Dr. Miriam A. Baumgart 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 ID6406901255
PECOS Enrollment IDI20090901000197
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.

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
89%358 patients4/55-star benchmark: 100%
Breast Cancer Screening
78%176 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
69%339 patients4/55-star benchmark: 88%
Diabetes: Eye Exam
36%97 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%97 patients4/55-star benchmark: 91%
e-Prescribing
99%3,674 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%737 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
100%537 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers117 claims237 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers35 claims37 services$1.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims18 services$37.21 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
2 suppliers14 claims14 services$69.23 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers20 claims20 services$21.24 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers17 claims46 services$2.37 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 4

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

STELLA C JOHNSON FNP-C
Nurse Practitioner (Family)
1321 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-6644
SALEM TOWNSHIP HOSPITAL
Family Medicine
1321 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-0200
SALEM TOWNSHIP HOSPITAL
Clinic/Center (Rural Health)
1321 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-6644
DR. PALANIAPPAN SUPPIAH MD
Internal Medicine
1321 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-0466

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 Miriam Baumgart's NPI number?

The NPI number for Miriam Baumgart is 1548490360. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Miriam Baumgart located?

Miriam Baumgart practices at 1321 W Whittaker St, Salem, IL 62881. The listed phone number is (618) 548-3922.

What is Miriam Baumgart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miriam Baumgart enrolled in Medicare?

Yes. Miriam Baumgart 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.

Is Miriam Baumgart affiliated with any hospitals?

According to CMS data, Miriam Baumgart is affiliated with St Anthonys Memorial Hospital, Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Crossroads Community Hospital and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Miriam Baumgart was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.