Active NPI 1033181706 Individual Practitioner Male Practitioner

Dr. Brian James Baumgartner , MD

Otolaryngology • Placerville, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Baumgartner, MD is a certified Otolaryngology practicing in Placerville, CA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Baumgartner delivers high-quality medical care to the local community at 4300 GOLDEN CENTER DR STE D.

Dr. Baumgartner maintains professional affiliations with Wilson County Memorial Hospital District, Marshall Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4300 Golden Center Dr Ste D

Placerville, CA 956676278

Telephone 5303442000

Fax 5307480333

Associated Practice Facility / Clinic

🏢 El Dorado Hearing Center, Inc. Facility NPI 1972794436

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Placerville, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -11.0 yrs vs City Avg

City Avg: 38.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Placerville, CA (1282 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baumgartner (27 Years) 27 Yrs

Placerville Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$318.48	$78.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$474.00	$127.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	86	$152.00	$77.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$224.16	$109.51
31575 Diagnostic exam of voice box using a flexible endoscope	51	50	$243.26	$122.52
69210 Removal of impacted ear wax	34	30	$106.83	$45.70
92504 Exam of ear using a microscope	32	24	$60.90	$30.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$224.08	$113.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	610	427	$122.00	$52.09
92557 Comprehensive hearing and speech recognition test	273	264	$78.00	$33.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	199	$177.00	$79.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	220	220	$206.00	$77.22
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	217	191	$658.00	$129.52
69210 Removal of impacted ear wax	203	163	$178.03	$31.76
92567 Eardrum testing using ear probe	140	137	$29.00	$11.23
31575 Diagnostic exam of voice box using a flexible endoscope	139	132	$178.00	$68.59
95810 Sleep monitoring of patient (6 years or older) in sleep lab	136	133	$630.00	$124.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$290.00	$131.00
92504 Exam of ear using a microscope	48	42	$55.00	$9.55
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	43	42	$221.00	$31.06
30901 Simple control of nose bleed	26	22	$117.00	$53.40
31231 Diagnostic examination of nasal passages using an endoscope	26	22	$465.00	$64.18
95992 Repositioning maneuvers for treatment of vertigo, per day	23	18	$103.00	$38.54
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	19	19	$383.00	$62.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	688	455	$122.00	$51.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	430	284	$177.00	$80.14
92557 Comprehensive hearing and speech recognition test	364	331	$78.00	$33.80
69210 Removal of impacted ear wax	234	169	$177.89	$32.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	217	217	$206.00	$77.56
31575 Diagnostic exam of voice box using a flexible endoscope	186	170	$178.00	$70.01
92567 Eardrum testing using ear probe	175	164	$29.00	$11.27
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	157	150	$621.00	$130.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$290.00	$131.67
95810 Sleep monitoring of patient (6 years or older) in sleep lab	86	86	$594.42	$123.48
92504 Exam of ear using a microscope	66	48	$55.00	$9.78
30901 Simple control of nose bleed	33	28	$117.00	$52.19
31231 Diagnostic examination of nasal passages using an endoscope	32	27	$465.00	$65.32
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	31	31	$221.00	$33.75
69220 Removal of skin debris and drainage of mastoid cavity	28	14	$334.00	$52.80
95992 Repositioning maneuvers for treatment of vertigo, per day	24	22	$103.00	$38.28
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	17	$20.56	$12.49

Medical Specialties & State Licenses

CMS Verified: 2025-10-15

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License CA A74453

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Hospital & Practice Group Affiliations

Marshall Medical Center

4300 Golden Ctr Dr, Placerville, CA 956676278

Phone: 5303442000

Wilson County Memorial Hospital District

495 10th St, Floresville, TX 781143163

Phone: 8303932140

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Brenda Bardasian , MS, CCC-A

Audiologist

NPI 1295989861

Master of Science, CCCA

Dr. Robert Chase , MD

Otolaryngology

NPI 1487757779

Doctor of Medicine (M.D.)

Dr. Reginald Rice , MD

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1710936976

Doctor of Medicine (M.D.)

Michelle Throp , MS

Audiologist

NPI 1942323464

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location October 15, 2025

Registered at 4300 GOLDEN CENTER DR STE D, PLACERVILLE, CA 956676278 (Tel: 5303442000)

📍

Updated Business Mailing Address October 15, 2025

Registered at PO BOX 45680, SAN FRANCISCO, CA 941450680 (Tel: 5303442000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2025

Otolaryngology (License #A74453 in CA)

📍

Updated Practice Location October 24, 2024

Registered at 499 10TH ST, FLORESVILLE, TX 781143175 (Tel: 5592256100)

📍

Updated Business Mailing Address October 24, 2024

Registered at 499 10TH ST, FLORESVILLE, TX 781143175

📍

Updated Business Mailing Address July 23, 2024

Registered at 6900 N PECOS RD, NORTH LAS VEGAS, NV 890864400 (Tel: 7027919000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Otolaryngology (License #51810 in AZ)

📍

Updated Practice Location August 13, 2019

Registered at 2615 E CLINTON AVE # 112, FRESNO, CA 937032223 (Tel: 5592256100)

📍

Updated Business Mailing Address August 13, 2019

Registered at 2615 E CLINTON AVE # 112, FRESNO, CA 937032223 (Tel: 5592256100)

📍

Updated Business Mailing Address January 14, 2019

Registered at PO BOX 3067, YUBA CITY, CA 959923067 (Tel: 5307514784)

✅

NPI Profile Active October 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2012

Registered at 6161 CLARK RD, STE 6, PARADISE, CA 959694164 (Tel: 5308779935)

📍

Updated Business Mailing Address October 10, 2012

Registered at 6161 CLARK RD, STE 6, PARADISE, CA 959694164 (Tel: 5308779935)

👤

Provider Name / Credentials Updated October 10, 2012

Recorded as BRIAN BAUMGARTNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Otolaryngology (License #A74453 in CA)

🟢

Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033181706

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 06, 2006

Last Update: October 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 45680

San Francisco, CA 941450680

Phone: 5303442000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.