DR. PETER BAUMGARTEL MD
NPI 1932276672
Radiology - Nuclear Radiology in Peoria, IL
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Peter Baumgartel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61637
- Reassigned Medicare billing, Illinois enrollment
- 176 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Illinois enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Sacred Heart Medical Center
Acute Care Hospitals · Danville, ILSaint James Hospital
Acute Care Hospitals · Pontiac, ILSt Joseph Medical Center
Acute Care Hospitals · Bloomington, ILMedicare 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.
Reported Quality Measures
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.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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.
Which organizations bill Medicare for Peter Baumgartel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Baumgartel reassigns Medicare benefits to 3 organizations: Central Illinois Radiological Associates, Ltd. (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL) and Cira Michigan PC (Escanaba, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Baumgartel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.