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

Q: 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..

Q: What is Nathan Baumer's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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

Phone(805) 275-1834

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

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Other Names 1

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

Other Identifiers 3

Other0007737012TX · Aetna/proima

Medicaid105800006TX

Other8U3450TX · Bcbstx/proima

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Nathan Baumer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Imaging, PLLC

9.3 mi

Geriatric Medicine

1717 ROTARY DR
Humble, TX 77338

Reassigned Medicare billing, Illinois and Texas enrollments

NPI 1902835895 (866) 676-6277

Diagnostex Consultants PLLC

227 mi

Family Medicine

500 GRAPEVINE HWY, STE. 106
Hurst, TX 76054

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1003134024 (817) 514-6271

Midwest Dysphagia Consultants, LLC

891 mi

Geriatric Medicine

5710 WOOSTER PIKE STE 102
Cincinnati, OH 45227

Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
20 clinicians in this Medicare group

NPI 1639404171 (281) 272-6277

Masstex Imaging, LLC

1,610 mi

Family Medicine

3 ELECTRONICS AVE STE 201
Danvers, MA 01923

Reassigned Medicare billing, Massachusetts enrollment
13 clinicians in this Medicare group

NPI 1326091380 (800) 508-6277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

109 services108 patients

Evaluation of swallowing function image 92611

An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.

60 services60 patients

X-ray of upper spine, 2-3 views 72040

33 services33 patients

Imaging for evaluation of swallowing function 74230

33 services33 patients

Single contrast x-ray of upper digestive tract 74240

33 services33 patients

X-ray of part of lower jaw, 1-4 views 70100

32 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services32 patients

X-ray of chest, 1 view 71045

15 services15 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

Quality

97.87

Promoting Interoperability

100

Improvement Activities

Cost

24.45

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.

Which organizations bill Medicare for Nathan Baumer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Baumer reassigns Medicare benefits to 4 organizations: Professional Imaging, PLLC (Humble, TX), Diagnostex Consultants PLLC (Hurst, TX), Midwest Dysphagia Consultants, LLC (Cincinnati, OH) and Masstex Imaging, LLC (Danvers, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Baumer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Baumer accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, CareSource and WellPoint 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.