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DR. STEPHANIE LYNN BAGINSKI M.D.
NPI 1992816748
Family Medicine in Summit, WI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
36500 AURORA DR, SUMMIT, WI 53066(262) 434-5000(262) 434-7650 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2026, Nov 18, 2024, Nov 19, 2021 (3 updates tracked since 2021).

About Dr. Stephanie Lynn Baginski M.d. NPPES

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

DR. STEPHANIE LYNN BAGINSKI M.D. (NPI 1992816748) is an individual family medicine provider in Summit, Wisconsin, licensed in Wisconsin (60146) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Oconomowoc Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2004).

NPPES Registry Identity

NPI1992816748
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHANIE LYNN BAGINSKICredential: M.D.
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 434-5000
Fax(262) 434-7650
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2004
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1992816748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 60146
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36500 AURORA DR, Summit, WI 53066
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Other Names 1

Former Name (1)Dr. Stephanie Lynn Buchholtz Md

Other Identifiers 1

Medicaid100028738WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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. Stephanie Lynn Baginski 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 ID5395791693
PECOS Enrollment IDI20130313000461
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Baginski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
23 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650

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 8

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.
208 services121 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.
101 services101 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.
53 services51 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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

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
7 suppliers22 claims70 services$5.84 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.

BIJAN NEZAMI
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
KEVIN L EGGLESTON M.D.
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-4711
KODY LEWIS PA C
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
REBECCA M STRIET M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Waukesha County (262) 434-5000
REBECCA SUSA DPT, ATC-L
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-2600
VIJAY JOHNSON M.D
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
MRS. KELLY S CAMPBELL ANP-BC
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
DR. BRETT MCLACHLAN M.D.
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000

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 Stephanie Baginski's NPI number?

The NPI number for Stephanie Baginski is 1992816748. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Dr. Stephanie Lynn Buchholtz MD.

Where is Stephanie Baginski located?

Stephanie Baginski practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-5000.

What is Stephanie Baginski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephanie Baginski enrolled in Medicare?

Yes. Stephanie Baginski 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 organization bills Medicare for Stephanie Baginski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Baginski reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Stephanie Baginski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Baginski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Stephanie Baginski 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 Stephanie Baginski affiliated with any hospitals?

According to CMS data, Stephanie Baginski is affiliated with Oconomowoc Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Stephanie Baginski was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.