SANDRA BAUMBERGER M.D.
NPI 1689621278
Family Medicine in Blair, NE

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
812 N 22ND ST, BLAIR, NE 68008(402) 426-4611(402) 426-4642 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra Baumberger M.d. NPPES

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

SANDRA BAUMBERGER M.D. (NPI 1689621278) is an individual family medicine provider in Blair, Nebraska, licensed in Nebraska (23491) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Community Hospital & Health System, and maintains a secondary practice location in Blair.

NPPES Registry Identity

NPI1689621278
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA BAUMBERGERCredential: M.D.
Location Address812 N 22ND STBlair, NE 68008-1128
Mailing Address812 N 22nd StBlair, NE 68008-1128 · (402) 426-4611 · Fax (402) 426-4642
Fax(402) 426-4642
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2004
Enumeration DateMay 28, 2006
Last NPPES UpdateJanuary 4, 2018
NPI 1689621278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 23491
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.

812 N 22ND ST, Blair, NE 68008

Secondary Practice Location 1

Location 1812 N 22nd StBlair, NE 68008-1128 · Phone (402) 426-4611 · Fax (402) 426-4642

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

Sandra Baumberger 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 ID8527062942
PECOS Enrollment IDI20060826000054
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Adm sarscov2 50mcg/0.25mlbst 0064A
This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.
54 services54 patients
Fee covid-19 vac 14 res 0134A
The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Memorial Community Hospital & Health System

Critical Access Hospitals · Blair, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281359
Location810 North 22nd StBlair, NE 68008 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68008 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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
5 suppliers51 claims121 services$5.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims29 services$0.97 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers12 claims12 services$37.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$91.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims33 services$33.75 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers12 claims60 services$15.47 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 18

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

Physician Assistant (Medical)
812 N 22ND ST
BLAIR, NE 68008
Physician Assistant (Medical)
812 N 22ND ST
BLAIR, NE 68008
Physician Assistant
812 N 22ND ST
BLAIR, NE 68008
Family Medicine
812 N 22ND ST
BLAIR, NE 68008
Physician Assistant
812 N 22ND ST
BLAIR, NE 68008
Pediatrics
812 N 22ND ST
BLAIR, NE 68008
Family Medicine
812 N 22ND ST
BLAIR, NE 68008
Physician Assistant (Medical)
812 N 22ND ST
BLAIR, NE 68008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689621278, enumerated as an "individual" on May 28, 2006.

The provider is located at 812 N 22ND ST BLAIR, NE 68008 and the phone number is (402) 426-4611.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Sandra Baumberger is affiliated with: MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM.