VICKY T BAUGHER CRNP
NPI 1871800409
Nurse Practitioner - Adult Health in Union Bridge, MD

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
104 N MAIN ST, UNION BRIDGE, MD 21791(443) 937-6258(949) 404-6023 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2018, Feb 4, 2016, Jan 28, 2016 and 1 more (4 updates tracked since 2015).

About Vicky T Baugher Crnp NPPES

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

VICKY T BAUGHER CRNP (NPI 1871800409) is an individual adult health provider in Union Bridge, Maryland, licensed in Maryland (R139731) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1871800409
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVICKY T BAUGHERCredential: CRNP
Location Address104 N MAIN STUnion Bridge, MD 21791-9102
Mailing AddressPo Box 591Union Bridge, MD 21791-0592 · (443) 937-6258 · Fax (949) 404-6023
Fax(949) 404-6023
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 2, 2010
Last NPPES UpdateDecember 27, 20184 updates tracked since enumeration
NPI 1871800409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MD · R139731
104 N MAIN ST, Union Bridge, MD 21791

Other Identifiers 1

Medicaid19344200MD

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

Vicky T Baugher Crnp 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 ID8820285463
PECOS Enrollment IDI20101209000115
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 26

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 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.
1,133 services491 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
358 services292 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.
312 services201 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
267 services267 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.
208 services208 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
180 services180 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21791 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.91
Promoting Interoperability100
Improvement Activities40
Cost97.88

Reported Quality Measures

e-Prescribing
100%2,107 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
80%1,716 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers27 claims58 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$0.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims13 services$24.52 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers19 claims1,320 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers21 claims21 services$21.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
104 N MAIN ST
UNION BRIDGE, MD 21791
Nurse Practitioner (Family)
104 N MAIN ST
UNION BRIDGE, MD 21791
Family Medicine
104 N MAIN ST
UNION BRIDGE, MD 21791
Family Medicine
104 N MAIN ST
UNION BRIDGE, MD 21791
Social Worker (Clinical)
104 N MAIN ST
UNION BRIDGE, MD 21791
Social Worker
104 N MAIN ST
UNION BRIDGE, MD 21791

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 Vicky Baugher's NPI number?

The NPI number for Vicky Baugher is 1871800409. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Vicky Baugher located?

Vicky Baugher practices at 104 N Main St, Union Bridge, MD 21791. The listed phone number is (443) 937-6258.

What is Vicky Baugher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Vicky Baugher enrolled in Medicare?

Yes. Vicky Baugher 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.

Is Vicky Baugher affiliated with any hospitals?

According to CMS data, Vicky Baugher is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Vicky Baugher was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.