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TODD GORDON BAUMGARTNER O.D.
NPI 1770507170
Optometrist in Little Falls, MN

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
313 1ST ST SE, LITTLE FALLS, MN 56345(320) 632-3673(320) 632-3677 Get Directions Write a Review

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

About Todd Gordon Baumgartner O.d. NPPES

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

TODD GORDON BAUMGARTNER O.D. (NPI 1770507170) is an individual optometrist in Little Falls, Minnesota, licensed in Minnesota (2114) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1987).

NPPES Registry Identity

NPI1770507170
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTODD GORDON BAUMGARTNERCredential: O.D.
Location Address313 1ST ST SELittle Falls, MN 56345-3005
Mailing Address313 1st St SeLittle Falls, MN 56345-3005 · (320) 632-3673 · Fax (320) 632-3677
Phone(320) 632-3673
Fax(320) 632-3677
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1987
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 16, 2014
✔ NPI 1770507170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2114
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
313 1ST ST SE, Little Falls, MN 56345
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Other Identifiers 9

Medicare ID-Type Unspecified410000701MN
Other410029610MN · Railroad Medicare
Other22-14261MN · Medica
Other4C930BAFM · Blue Cross Blue Shield
Other121964E979MN · Ucare
OtherHP26999MN · Health Partners
Medicare UPINT65282MN
Other01006332MN · Preferred One
Medicaid058823700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Providence Health Plan.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

Todd Gordon Baumgartner O.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 ID42341109
PECOS Enrollment IDI20100706000720
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 5

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,700 services12 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
183 services182 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
97 services94 patients
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.
21 services21 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56345 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 3

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

KELLY FENSTERMACHER O.D.
Optometrist
313 1ST ST SE
LITTLE FALLS, MN 56345
Morrison County (320) 632-3676
REBECCA ELIZABETH BARTON O.D.
Optometrist
313 1ST ST SE
LITTLE FALLS, MN 56345
Morrison County (320) 632-3676
LITTLE FALLS EYE CARE CENTER P.A
Optometrist
313 1ST ST SE
LITTLE FALLS, MN 56345
Morrison County (320) 632-3676

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 Todd Baumgartner's NPI number?

The NPI number for Todd Baumgartner is 1770507170. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Todd Baumgartner located?

Todd Baumgartner practices at 313 1st St SE, Little Falls, MN 56345. The listed phone number is (320) 632-3673.

What is Todd Baumgartner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Todd Baumgartner enrolled in Medicare?

Yes. Todd Baumgartner 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 Todd Baumgartner accept?

Health plans from HealthPartners, Medica and Providence Health Plan list Todd Baumgartner 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.

When was this NPI record last updated?

The NPPES record for Todd Baumgartner was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.