EGBERT D BAUMGART MD
NPI 1821269754
Urology in Dover, NH

Q: What is Egbert Baumgart's NPI number?

The NPI number for Egbert Baumgart is 1821269754. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Q: What is Egbert Baumgart's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Egbert Baumgart was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 19, 2008PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

17 OLD ROLLINSFORD ROAD, SUITE 3, DOVER, NH 03820(608) 742-5011(603) 742-3530 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Egbert D Baumgart Md NPPES

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

EGBERT D BAUMGART MD (NPI 1821269754) is an individual urology provider in Dover, New Hampshire, licensed in New Hampshire (14244) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1821269754

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameEGBERT D BAUMGARTCredential: MD

Location Address17 OLD ROLLINSFORD ROAD, SUITE 3Dover, NH 03820-2892

Mailing Address17 Old Rollinsford Road, Suite 3Dover, NH 03820-2892 · (608) 742-5011 · Fax (603) 742-3530

Phone(608) 742-5011

Fax(603) 742-3530

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMarch 19, 2008

Last NPPES UpdateJanuary 24, 2012

✔ NPI 1821269754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NH · 14244

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

17 OLD ROLLINSFORD ROAD, SUITE 3, Dover, NH 03820

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Other Identifiers 2

Medicaid30209901NH

Medicare PIN001336302NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Egbert D Baumgart Md 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 ID345396701

PECOS Enrollment IDI20140502001544

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 19

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.

430 services259 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.

372 services311 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

108 services96 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.

100 services100 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

95 services83 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

71 services25 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

40 services13 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

38 services11 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

33 services33 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

30 services30 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

29 services25 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services22 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

17 services14 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

16 services15 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

16 services11 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

15 services14 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

13 services13 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

12 services11 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

York Hospital

Acute Care Hospitals · York, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200020

Location15 Hospital DriveYork, ME 03909 · York County

Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH

2/5 CMS rating

OwnershipProprietary

CMS Certification Number300014

Location11 Whitehall RoadRochester, NH 03867 · Strafford County

Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number300029

Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County

Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301312

Location240 South Main StreetWolfeboro, NH 03894 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$71.85 typical visit price

range $18.70 – $142.15

Typical copayment $17.96 (range $4.67 – $35.53)

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers48 claims8,011 services$1.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Egbert Baumgart's NPI number?

The NPI number for Egbert Baumgart is 1821269754. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Egbert Baumgart located?

Egbert Baumgart practices at 17 Old Rollinsford Road, Suite 3, Dover, NH 03820. The listed phone number is (608) 742-5011.

What is Egbert Baumgart's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Egbert Baumgart enrolled in Medicare?

Yes. Egbert Baumgart 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 Egbert Baumgart accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Egbert Baumgart 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 Egbert Baumgart affiliated with any hospitals?

According to CMS data, Egbert Baumgart is affiliated with York Hospital, Frisbie Memorial Hospital, Wentworth-Douglass Hospital, Portsmouth Regional Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Egbert Baumgart was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.