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DR. WILLIAM LANDRY BAUMGARTNER M.D.
NPI 1881135101
Hospitalist in Abita Springs, LA

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
75002 WOODLAND RD, ABITA SPRINGS, LA 70420(985) 264-2474 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2020, Mar 20, 2017 (2 updates tracked since 2017).

About Dr. William Landry Baumgartner M.d. NPPES

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

DR. WILLIAM LANDRY BAUMGARTNER M.D. (NPI 1881135101) is an individual hospitalist provider in Abita Springs, Louisiana, licensed in Louisiana (312692) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2017).

NPPES Registry Identity

NPI1881135101
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. WILLIAM LANDRY BAUMGARTNERCredential: M.D.
Location Address75002 WOODLAND RDAbita Springs, LA 70420-2956
Mailing Address1542 Tulane Ave # 444New Orleans, LA 70112-2865
Phone(985) 264-2474
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1881135101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in LA · 312692
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 312692 (LA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
75002 WOODLAND RD, Abita Springs, LA 70420
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. William Landry Baumgartner 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 ID5799054565
PECOS Enrollment IDI20200611000849
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70420 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

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 William Baumgartner's NPI number?

The NPI number for William Baumgartner is 1881135101. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is William Baumgartner located?

William Baumgartner practices at 75002 Woodland Rd, Abita Springs, LA 70420. The listed phone number is (985) 264-2474.

What is William Baumgartner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is William Baumgartner enrolled in Medicare?

Yes. William 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.

What insurance does William Baumgartner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana list William 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 William Baumgartner affiliated with any hospitals?

According to CMS data, William Baumgartner is affiliated with University Medical Center New Orleans and Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for William Baumgartner was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.