AMY WISTERIA BAUGHMAN M.D.
NPI 1891938528
Internal Medicine in Brockton, MA

Active since April 10, 2009PECOS EnrolledAccepts Medicare Assignment
940 BELMONT STREET, VETERANS AFFAIRS BOSTON HEALTHCARE SYSTEM, BROCKTON, MA 02301(774) 826-1860 Get Directions Write a Review

NPPES record last updated: September 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Wisteria Baughman M.d. NPPES

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

AMY WISTERIA BAUGHMAN M.D. (NPI 1891938528) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (252442) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1891938528
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAMY WISTERIA BAUGHMANCredential: M.D.
Location Address940 BELMONT STREET, VETERANS AFFAIRS BOSTON HEALTHCARE SYSTEMBrockton, MA 02301
Mailing Address940 Belmont Street, Geriatrics & Extended CareBrockton, MA 02301 · (774) 826-1860
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 10, 2009
Last NPPES UpdateSeptember 18, 2016
NPI 1891938528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 252442
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 252442 (MA)
940 BELMONT STREET, Brockton, MA 02301

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

Amy Wisteria Baughman 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 ID6204085574
PECOS Enrollment IDI20121001000443
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services32 patients
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.
17 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Pharmacist
940 BELMONT STREET
BROCKTON, MA 02301
Nurse Practitioner (Psychiatric/Mental Health)
940 BELMONT STREET, BUILDING 2 WARD 21B-D
BROCKTON, MA 02301
General Acute Care Hospital
940 BELMONT STREET, BOSTON VA HEALTHCARE SYSTEM
BROCKTON, MA 02301
Psychiatry & Neurology (Psychiatry)
940 BELMONT STREET, PSYCHIATRY 116A7
BROCKTON, MA 02301
Physician Assistant
940 BELMONT STREET, BVAMC
BROCKTON, MA 02301
Psychiatry & Neurology (Psychiatry)
940 BELMONT STREET, VA BOSTON HEALTHCARE SYSTEM
BROCKTON, MA 02301
Psychiatry & Neurology (Psychiatry)
940 BELMONT STREET
BROCKTON, MA 02301
Pharmacist (Ambulatory Care)
940 BELMONT STREET
BROCKTON, MA 02301

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 Amy Baughman's NPI number?

The NPI number for Amy Baughman is 1891938528. It was assigned to this individual provider in the NPPES registry on April 10, 2009.

Where is Amy Baughman located?

Amy Baughman practices at 940 Belmont Street Veterans Affairs Boston Healthcare System, Brockton, MA 02301. The listed phone number is (774) 826-1860.

What is Amy Baughman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amy Baughman enrolled in Medicare?

Yes. Amy 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.

Is Amy Baughman affiliated with any hospitals?

According to CMS data, Amy Baughman is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Amy Baughman was last updated on September 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.