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ERIC D HAMBURG MD
NPI 1922064518
Internal Medicine in Baraboo, WI

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1700 TUTTLE ST, BARABOO, WI 53913(608) 355-3800(608) 355-7001 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric D Hamburg Md NPPES

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

ERIC D HAMBURG MD (NPI 1922064518) is an individual internal medicine provider in Baraboo, Wisconsin, licensed in Wisconsin (21708-020) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of Saint Louis University School Of Medicine (1977).

NPPES Registry Identity

NPI1922064518
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameERIC D HAMBURGCredential: MD
Location Address1700 TUTTLE STBaraboo, WI 53913-3319
Mailing Address1700 Tuttle StBaraboo, WI 53913-3319 · (608) 355-3800 · Fax (608) 355-7001
Phone(608) 355-3800
Fax(608) 355-7001
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1977
Enumeration DateApril 24, 2006
Last NPPES UpdateJanuary 22, 2016
✔ NPI 1922064518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 21708-020
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.
1700 TUTTLE ST, Baraboo, WI 53913
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Other Identifiers 3

Medicaid1922064518WI
Medicare PIN110230052WI
Medicare PINK400177141WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Eric D Hamburg 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 ID5395767958
PECOS Enrollment IDI20051222000578
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 5

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services30 patients
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.
33 services17 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
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53913 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$118.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.73 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 20

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

AME FISCHER CNM
Advanced Practice Midwife
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800
CHERYL R GOECKERMANN MD
Internal Medicine (Addiction Medicine)
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800
EMILY CATHERINE HORN DO
Student in an Organized Health Care Education/Training Program
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800
FAYE J BRICKL
Pharmacist
1700 TUTTLE ST, SUITE 300
BARABOO, WI 53913
Sauk County (608) 356-6966
DR. SARANAH LINSCOTT DO
Family Medicine
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800
STUART G HANNAH MD
Family Medicine
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800
ANNA BADTKE PA-C
Physician Assistant
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800
RANDY J KRSZJZANIEK MD
Family Medicine
1700 TUTTLE ST
BARABOO, WI 53913
Sauk County (608) 355-3800

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 Eric Hamburg's NPI number?

The NPI number for Eric Hamburg is 1922064518. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Eric Hamburg located?

Eric Hamburg practices at 1700 Tuttle St, Baraboo, WI 53913. The listed phone number is (608) 355-3800.

What is Eric Hamburg's specialty?

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

Is Eric Hamburg enrolled in Medicare?

Yes. Eric Hamburg 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 Eric Hamburg accept?

Health plans from Medica list Eric Hamburg 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 Eric Hamburg affiliated with any hospitals?

According to CMS data, Eric Hamburg is affiliated with Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison and Sauk Prairie Hospital.

When was this NPI record last updated?

The NPPES record for Eric Hamburg was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.