MARC BAUMERT PA-C
NPI 1558770974
Physician Assistant in Des Moines, IA

Active since August 11, 2014PECOS EnrolledAccepts Medicare Assignment
88.63/100
CMS Quality Rating
1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-2200 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marc Baumert Pa-c NPPES

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

MARC BAUMERT PA-C (NPI 1558770974) is an individual physician assistant in Des Moines, Iowa, licensed in Iowa (074718) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558770974
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARC BAUMERTCredential: PA-C
Location Address1801 HICKMAN RDDes Moines, IA 50314-1505
Mailing Address400 Walnut St, Apt 1203Des Moines, IA 50309-2217 · (402) 651-1750
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 11, 2014
NPI 1558770974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IA · 074718
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1801 HICKMAN RD, Des Moines, IA 50314

Accepted Insurance

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

Marc Baumert Pa-c 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 ID5698994333
PECOS Enrollment IDI20140911001789
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 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.
119 services87 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.
110 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160101
Location1801 Hickman RoadDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

88.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.38
Promoting Interoperability100
Improvement Activities40
Cost67.07

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers23 claims46 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims20 services$1.02 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 20

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

Family Medicine
1801 HICKMAN RD
DES MOINES, IA 50314
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD
DES MOINES, IA 50314
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Pharmacist
1801 HICKMAN RD
DES MOINES, IA 50314
Occupational Therapist
1801 HICKMAN RD
DES MOINES, IA 50314
Physician Assistant
1801 HICKMAN RD
DES MOINES, IA 50314

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 Marc Baumert's NPI number?

The NPI number for Marc Baumert is 1558770974. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Where is Marc Baumert located?

Marc Baumert practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-2200.

What is Marc Baumert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marc Baumert enrolled in Medicare?

Yes. Marc Baumert 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.

What insurance does Marc Baumert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Marc Baumert 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 Marc Baumert affiliated with any hospitals?

According to CMS data, Marc Baumert is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi and Broadlawns Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Baumert was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.