DR. NATHAN B BAUMER M.D.
NPI 1811908619
General Practice in Houston, TX

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
86.69/100
CMS Quality Rating
523 N SAM HOUSTON PKWY E, SUITE 125, HOUSTON, TX 77060(805) 275-1834 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nathan B Baumer M.d. NPPES

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

DR. NATHAN B BAUMER M.D. (NPI 1811908619) is an individual general practice provider in Houston, Texas, licensed in Texas (K5803) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1811908619
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. NATHAN B BAUMERCredential: M.D.
Location Address523 N SAM HOUSTON PKWY E, SUITE 125Houston, TX 77060-4036
Mailing Address1717 Rotary DrHumble, TX 77338-5235 · (281) 272-6277 · Fax (281) 272-6281
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 10, 2006
Last NPPES UpdateDecember 20, 2017
NPI 1811908619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · K5803
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License K5803 (TX)
523 N SAM HOUSTON PKWY E, Houston, TX 77060

Other Names 1

Professional Name (2)Dr. Nat Baumer M.d.

Other Identifiers 3

Other0007737012TX · Aetna/proima
Medicaid105800006TX
Other8U3450TX · Bcbstx/proima

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

Dr. Nathan B Baumer 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 ID547256760
PECOS Enrollment IDI20101004000792
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 14

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.

X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
427 services424 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
427 services424 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
424 services421 patients
X-ray of part of lower jaw, 1-4 views 70100
An X-ray of the lower jaw, with 1-4 views, is a non-invasive imaging procedure. It helps visualize the jaw structure, checking for issues like fractures, infections, or dental problems. It's quick, painless, and provides valuable information for your treatment plan.
371 services371 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.
318 services318 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
181 services179 patients

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.

86.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.87
Promoting Interoperability100
Improvement Activities40
Cost24.45

Reported Quality Measures

Breast Cancer Screening
2%119 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%693 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
72%328 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%730 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%693 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%699 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%693 patients5/55-star benchmark: 100%
Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
100%343 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%343 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.

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 Nathan Baumer's NPI number?

The NPI number for Nathan Baumer is 1811908619. It was assigned to this individual provider in the NPPES registry on August 10, 2006. The provider is also known as Dr. Nat Baumer M.D..

Where is Nathan Baumer located?

Nathan Baumer practices at 523 N Sam Houston Pkwy E Suite 125, Houston, TX 77060. The listed phone number is (805) 275-1834.

What is Nathan Baumer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nathan Baumer enrolled in Medicare?

Yes. Nathan Baumer 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 Nathan Baumer accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Nathan Baumer 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 Nathan Baumer was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.