DR. PETER BAUMGARTEL MD
NPI 1932276672
Radiology - Nuclear Radiology in Peoria, IL

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Baumgartel Md NPPES

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

DR. PETER BAUMGARTEL MD (NPI 1932276672) is an individual nuclear radiology provider in Peoria, Illinois, licensed in Illinois (036079988) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Libertyville.

NPPES Registry Identity

NPI1932276672
Entity TypeIndividualMale
Primary Taxonomy2085N0904X
Provider Legal NameDR. PETER BAUMGARTELCredential: MD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-5264
Mailing Address111 Oakwood RdEast Peoria, IL 61611-1853 · (309) 740-4272
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1986
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
NPI 1932276672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
Licenses Licensed in IL · 036079988 Licensed in MI · 4301501049
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 036079988 (IL), 4301501049 (MI)
530 NE GLEN OAK AVE, Peoria, IL 61637

Secondary Practice Location 1

Location 11800 Hollister Dr, Suite G-18Libertyville, IL 60048-5264 · Phone (847) 918-1462 · Fax (847) 968-4311

Other Identifiers 4

Other4923631IL · Bcbs Id
Other202926IL · Group Ptan
Other212545IL · Group Ptan
Medicaid036079988IL

Accepted 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. Peter Baumgartel 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 ID9537226865
PECOS Enrollment IDI20090331000497
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 28

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
327 services322 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
297 services270 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
279 services264 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
122 services108 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
121 services121 patients
Nuclear medicine study of bone and/or joint whole body 78306
A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.
119 services108 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
67%88 patients3/55-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.

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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Peter Baumgartel's NPI number?

The NPI number for Peter Baumgartel is 1932276672. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Peter Baumgartel located?

Peter Baumgartel practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Peter Baumgartel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Peter Baumgartel enrolled in Medicare?

Yes. Peter Baumgartel 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 Peter Baumgartel accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Peter Baumgartel 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 Peter Baumgartel affiliated with any hospitals?

According to CMS data, Peter Baumgartel is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Sacred Heart Medical Center, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Baumgartel was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.