DR. JAMES RICHARD BAUMGART D.O.
NPI 1932334216
Internal Medicine in La Crosse, WI

Q: What is James Baumgart's NPI number?

The NPI number for James Baumgart is 1932334216. It was assigned to this individual provider in the NPPES registry on May 15, 2009. The provider is also known as Dr. Jamie Richard Baumgart D.O..

Q: What is James Baumgart's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Baumgart was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 15, 2009PECOS EnrolledAccepts Medicare Assignment

1836 SOUTH AVE, MAILSTOP C04-003, LA CROSSE, WI 54601(608) 775-8388(608) 775-4556 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. James Richard Baumgart D.o. NPPES

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

DR. JAMES RICHARD BAUMGART D.O. (NPI 1932334216) is an individual internal medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (56063) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1932334216

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES RICHARD BAUMGARTCredential: D.O.

Location Address1836 SOUTH AVE, MAILSTOP C04-003La Crosse, WI 54601-5429

Mailing Address1836 South Ave, Mailstop C04-003La Crosse, WI 54601-5429 · (608) 775-8388 · Fax (608) 775-4556

Phone(608) 775-8388

Fax(608) 775-4556

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 15, 2009

Last NPPES UpdateJuly 19, 2017

✔ NPI 1932334216 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 · 56063

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.

1836 SOUTH AVE, La Crosse, WI 54601

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Other Names 1

Other Name (5)Dr. Jamie Richard Baumgart D.o.

Other Identifiers 3

Medicare PIN73601 2500WI

Medicaid1932334216WI

Medicare PIN68086 1314WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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. James Richard Baumgart D.o. 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 ID6305092842

PECOS Enrollment IDI20120815000792

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

211 services156 patients

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.

134 services62 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

92 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services51 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.

41 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Crossing Rivers Health Medical Center

Critical Access Hospitals · Prairie Du Chien, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521330

Location37868 Us Hwy 18Prairie Du Chien, WI 53821 · Crawford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers32 claims106 services$5.29 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers15 claims22 services$1.10 avg. paid by Medicare

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 supplier12 claims12 services$83.42 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$30.45 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.

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered