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MRS. RENEE T BAUGHMAN MD
NPI 1861478018
Obstetrics & Gynecology in Lewiston, NY

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
5927 MILITARY RD, LEWISTON, NY 14092(716) 297-9379(716) 297-4638 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Renee T Baughman Md NPPES

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

MRS. RENEE T BAUGHMAN MD (NPI 1861478018) is an individual obstetrics & gynecology provider in Lewiston, New York, licensed in New York (218474) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (1999).

NPPES Registry Identity

NPI1861478018
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMRS. RENEE T BAUGHMANCredential: MD
Location Address5927 MILITARY RDLewiston, NY 14092-2218
Mailing Address5927 Military RdLewiston, NY 14092-2218 · (716) 297-9379 · Fax (716) 297-4638
Phone(716) 297-9379
Fax(716) 297-4638
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1999
Enumeration DateDecember 20, 2005
Last NPPES UpdateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1861478018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 218474
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5927 MILITARY RD, Lewiston, NY 14092
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Other Identifiers 1

Medicaid02462206NY

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

Mrs. Renee T Baughman 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 ID143213520
PECOS Enrollment IDI20040405000021
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

5

Medicare enrollment records show Renee Baughman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount St. Mary's Hospital Of Niagara Falls
1.9 mi
General Acute Care Hospital
5300 MILITARY RD
Lewiston, NY 14092
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Mount St. Marys Hospital Of Niagara Falls
  • 289 clinicians in this Medicare group
NPI 1043394745 (716) 298-2081
Niagara Falls Memorial Medical Center
3.4 mi
General Acute Care Hospital
621 10TH ST
Niagara Falls, NY 14302
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982659256 (New York)
  • 156 clinicians in this Medicare group
NPI 1285717298 (716) 278-4000
Kenmore Mercy Hospital
13 mi
Rehabilitation Unit
2950 ELMWOOD AVE
Kenmore, NY 14217
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
NPI 1164436283 (716) 447-6100
Sisters Of Charity Hospital Of Buffalo New York
16 mi
Obstetrics & Gynecology
2157 MAIN ST
Buffalo, NY 14214
  • Reassigned Medicare billing, New York enrollment
  • 515 clinicians in this Medicare group
NPI 1568090660 (716) 862-1000
Mercy Hospital Of Buffalo
22 mi
Rehabilitation Unit
565 ABBOTT RD
Buffalo, NY 14220
  • Reassigned Medicare billing, New York enrollment
  • 499 clinicians in this Medicare group
NPI 1659310605 (716) 826-7000

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
44 services44 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14092 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
64%1,554 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,874 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%700 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
44%34 patients3/55-star benchmark: 88%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
7%688 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%2,204 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
82%430 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 2,087 patients
Patients tobacco: 90% · 2,087 patients
8%221 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%688 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
53%688 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 470 patients
6%470 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%688 patients
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.

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.

AMANDA HARRELL
Physician Assistant
5927 MILITARY RD
LEWISTON, NY 14092
Niagara County (716) 297-9379
LAURA MARJORIE DEBACCO PA-C
Physician Assistant
5927 MILITARY RD
LEWISTON, NY 14092
Niagara County (716) 297-9379
DR. DONNA AZAM FELDMAN MD
Specialist
5927 MILITARY RD
LEWISTON, NY 14092
Niagara County (716) 297-9379

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 Renee Baughman's NPI number?

The NPI number for Renee Baughman is 1861478018. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Renee Baughman located?

Renee Baughman practices at 5927 Military Rd, Lewiston, NY 14092. The listed phone number is (716) 297-9379.

What is Renee Baughman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Renee Baughman enrolled in Medicare?

Yes. Renee Baughman 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 Renee Baughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Baughman reassigns Medicare benefits to 5 organizations: Mount St. Mary's Hospital Of Niagara Falls (Lewiston, NY), Niagara Falls Memorial Medical Center (Niagara Falls, NY), Kenmore Mercy Hospital (Kenmore, NY), Sisters Of Charity Hospital Of Buffalo New York (Buffalo, NY) and Mercy Hospital Of Buffalo (Buffalo, NY). 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 Renee Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Renee Baughman affiliated with any hospitals?

According to CMS data, Renee Baughman is affiliated with Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Renee Baughman was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.