DR. CLAIRE ELIZABETH BAUMGARTNER MD
NPI 1871295717
Family Medicine - Obesity Medicine in Duluth, MN
About Dr. Claire Elizabeth Baumgartner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLAIRE ELIZABETH BAUMGARTNER MD (NPI 1871295717) is an individual obesity medicine provider in Duluth, Minnesota, licensed in Minnesota (82112) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Claire Elizabeth Baumgartner 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.
Medicare Billing Reassignments
3Medicare enrollment records show Claire Baumgartner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 179 clinicians in this Medicare group
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DULUTH, MN 55805
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 Claire Baumgartner's NPI number?
The NPI number for Claire Baumgartner is 1871295717. It was assigned to this individual provider in the NPPES registry on March 21, 2023.
Where is Claire Baumgartner located?
Claire Baumgartner practices at 420 E 1st St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Claire Baumgartner's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.
Is Claire Baumgartner enrolled in Medicare?
Yes. Claire 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.
Which organizations bill Medicare for Claire Baumgartner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claire Baumgartner reassigns Medicare benefits to 3 organizations: St Marys Medical Center (Duluth, MN), The Duluth Clinic, Ltd (Duluth, MN) and Ihc Health Services Inc (Logan, UT). 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 Claire Baumgartner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Claire Baumgartner accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Claire 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.
Is Claire Baumgartner affiliated with any hospitals?
According to CMS data, Claire Baumgartner is affiliated with Mckay-Dee Hospital.
When was this NPI record last updated?
The NPPES record for Claire Baumgartner was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Claire Elizabeth Baumgartner, MD · NPI 1871295717
Obesity Medicine physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since March 21, 2023.
## Identity
- **NPI:** 1871295717 (Entity type: Individual)
- **Enumerated:** March 21, 2023
- **Primary specialty:** Family Medicine - Obesity Medicine · taxonomy 207QB0002X
- **State license:** 82112 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 E 1ST ST, Duluth, MN 55805-1901
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Marys Medical Center (NPI 1457393035, Duluth, MN); The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); Ihc Health Services Inc (NPI 1033489505, Logan, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota, Duluth School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871295717) · Data from the CMS NPPES public registry.