Active NPI 1386689537 Individual Practitioner Male Practitioner

Dr. James R Bargenquast , MD

Hospitalist • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Bargenquast, MD is a certified Hospitalist practicing in Appleton, WI. With approximately 47 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1979, Dr. Bargenquast delivers high-quality medical care to the local community at 1818 N MEADE ST.

Dr. Bargenquast is affiliated with Thedacare, Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1818 N Meade St

Appleton, WI 549113454

Telephone 9207357645

Fax 9207357618

Associated Practice Facility / Clinic

🏢 Appleton Emergency Services S C Facility NPI 1588666853

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +31.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Appleton, WI (896 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bargenquast (47 Years) 47 Yrs

Appleton Specialty Average (15.9 Years) 15.9 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	55	$253.30	$72.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$478.40	$120.50
99239 Hospital discharge day management, more than 30 minutes	24	24	$376.80	$106.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	183	83	$246.40	$74.25
99239 Hospital discharge day management, more than 30 minutes	47	46	$366.50	$106.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$465.40	$121.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$133.30	$46.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	12	$354.60	$109.41
99238 Hospital discharge day management, 30 minutes or less	14	14	$249.90	$75.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$687.90	$162.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	342	128	$235.10	$66.98
99239 Hospital discharge day management, more than 30 minutes	74	73	$349.75	$99.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	42	$338.40	$96.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$656.35	$185.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$444.05	$127.13
99220 Hospital observation care, typically 70 minutes	11	11	$608.65	$167.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	300	128	$226.60	$68.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	59	$324.36	$98.18
99239 Hospital discharge day management, more than 30 minutes	58	58	$336.22	$101.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$634.92	$186.04
99225 Subsequent observation care, typically 25 minutes per day	17	12	$228.04	$68.27
99219 Hospital observation care, typically 50 minutes	15	15	$431.13	$127.30
99217 Hospital observation care on day of discharge	15	15	$223.48	$68.60
99220 Hospital observation care, typically 70 minutes	14	14	$590.94	$172.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$428.20	$128.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	413	182	$223.76	$70.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	74	$320.27	$100.40
99239 Hospital discharge day management, more than 30 minutes	107	104	$334.28	$103.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	52	$624.30	$195.74
99225 Subsequent observation care, typically 25 minutes per day	26	21	$225.12	$70.55
99220 Hospital observation care, typically 70 minutes	20	19	$569.55	$179.02
99217 Hospital observation care on day of discharge	19	18	$219.61	$70.35
99219 Hospital observation care, typically 50 minutes	18	18	$423.38	$131.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$118.78	$38.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$428.29	$132.18
99238 Hospital discharge day management, 30 minutes or less	12	12	$227.85	$70.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	405	192	$216.19	$69.39
99239 Hospital discharge day management, more than 30 minutes	98	94	$322.30	$102.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	94	76	$310.21	$98.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	66	$602.59	$193.50
99220 Hospital observation care, typically 70 minutes	34	34	$557.28	$177.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$117.15	$37.53
99217 Hospital observation care on day of discharge	23	23	$212.43	$69.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$407.66	$130.48
99238 Hospital discharge day management, 30 minutes or less	16	16	$220.50	$69.91
99219 Hospital observation care, typically 50 minutes	13	13	$406.08	$129.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	334	149	$207.00	$69.84
99239 Hospital discharge day management, more than 30 minutes	84	82	$308.00	$103.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	47	$298.00	$100.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	31	$112.00	$37.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$578.00	$194.40
99220 Hospital observation care, typically 70 minutes	34	34	$536.00	$178.75
99217 Hospital observation care on day of discharge	24	24	$204.00	$70.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$391.00	$130.67
99219 Hospital observation care, typically 50 minutes	18	18	$391.00	$130.61
99238 Hospital discharge day management, 30 minutes or less	13	13	$210.00	$70.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	483	200	$256.07	$69.23
99239 Hospital discharge day management, more than 30 minutes	62	62	$386.08	$103.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	45	$404.22	$100.16
99238 Hospital discharge day management, 30 minutes or less	53	51	$257.18	$69.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	36	$107.56	$37.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	41	$600.95	$194.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$398.47	$129.20
99220 Hospital observation care, typically 70 minutes	30	30	$525.13	$178.87
99217 Hospital observation care on day of discharge	19	19	$190.00	$70.07
99225 Subsequent observation care, typically 25 minutes per day	13	12	$194.00	$70.12

Medical Specialties & State Licenses

CMS Verified: 2023-08-09

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License WI 22956

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AZ 15491

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

288721 (AZ)

Commercial Insurance / Payer ID Bcbsaz

AZ0769140 (AZ)

Commercial Insurance / Payer ID Az State Medical License

15491 (AZ)

Hospital & Practice Group Affiliations

Thedacare, Incorporated

1818 N Meade St, Appleton, WI 549113454

Phone: 9207357645

Secondary Practice Locations

1405 Mill St

New London, WI 549612155

Phone: 9205312400

2380 N Ferguson Ave, Suite 104

Tucson, AZ 857122837

Phone: 5202983321

130 2nd St

Neenah, WI 549562883

Phone: 9207292738

Practice Associates & Co-Workers

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

40 Associated Practitioners

Hanna Sippel , PA

Physician Assistant

NPI 1003560921

Physician Assistant

Dr. Syed Ali , MD

Hospitalist

NPI 1023207586

Doctor of Medicine (M.D.)

Kimberly Romenesko , APNP

Nurse Practitioner

NPI 1023368727

Advanced Practice Nurse Prescriber

Dr. Leigh Mae Provencher , MD

Internal Medicine - Critical Care Medicine

NPI 1063949741

Doctor of Medicine (M.D.)

Matthew Boese

Hospitalist

NPI 1073018180

Dr. Luiza-Irina Florescu , MD

Hospitalist

NPI 1093820177

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address August 09, 2023

Registered at 1818 N MEADE ST, APPLETON, WI 549113454 (Tel: 9207314101)

✅

NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2017

Registered at 1818 N MEADE ST, APPLETON, WI 549113454 (Tel: 9207357645)

📍

Updated Business Mailing Address December 08, 2017

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115794 (Tel: 9209963264)

👤

Provider Name / Credentials Updated December 08, 2017

Recorded as JAMES BARGENQUAST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Internal Medicine (License #15491 in AZ)

✅

NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2014

Registered at 2380 N FERGUSON AVE, SUITE 104, TUCSON, AZ 857122837 (Tel: 5202983321)

📍

Updated Business Mailing Address February 21, 2014

Registered at 2380 N FERGUSON AVE, SUITE 104, TUCSON, AZ 857122837 (Tel: 5202983321)

👤

Provider Name / Credentials Updated February 21, 2014

Recorded as JAMES BARGENQUAST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Internal Medicine (License #15491 in AZ)

🟢

Initial NPI Registration & Enumeration June 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386689537

Entity Type:

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

Enumeration Date: June 19, 2006

Last Update: August 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1818 N Meade St

Appleton, WI 549113454

Phone: 9207314101

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.