Active NPI 1043277064 Individual Practitioner Male Practitioner

Dr. David W Baumberger , MD

Internal Medicine • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. David Baumberger, MD is a registered healthcare professional specializing in Internal Medicine in Decatur, IL. Practice services are available at 304 W HAY ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

304 W Hay St
Ste 312

Decatur, IL 625266328

Telephone 2178765600

Fax 2178765664

Associated Practice Facility / Clinic

🏢 Central Illinois Surgery Center, Llc Facility NPI 1972572964

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Decatur, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

47 Specialists

Practicing in Decatur, IL (7544 Statewide)

Telehealth Adoption Rate

10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,004	577	$246.74	$93.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	530	386	$40.30	$15.92
99213 Established patient office or other outpatient visit, typically 15 minutes	164	139	$168.13	$63.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	42	$325.74	$139.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	39	$34.15	$7.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$99.15	$34.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	762	535	$239.81	$96.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	133	$238.00	$96.53
99213 Established patient office or other outpatient visit, typically 15 minutes	132	114	$163.78	$65.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	85	26	$49.00	$8.71
93793 Anticoagulant management of patient taking warfarin	42	13	$68.00	$11.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$318.60	$141.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	21	$33.09	$8.06
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$162.00	$65.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$95.19	$33.58
93793 Anticoagulant management of patient taking warfarin	15	12	$68.00	$11.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	895	564	$232.54	$96.01
99213 Established patient office or other outpatient visit, typically 15 minutes	223	192	$157.92	$65.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	112	$92.13	$35.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	38	33	$32.21	$8.14
93793 Anticoagulant management of patient taking warfarin	36	12	$67.11	$10.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	30	$307.32	$143.54
99495 Transitional care management services for problem of at least moderate complexity	25	23	$409.00	$140.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$345.25	$133.83
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$116.21	$65.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,016	650	$225.67	$99.54
99213 Established patient office or other outpatient visit, typically 15 minutes	224	190	$153.00	$67.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	54	52	$31.31	$8.35
99442 Telephone medical discussion with physician, 11-20 minutes	44	42	$113.14	$67.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	36	$299.31	$144.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$89.75	$36.12
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$165.33	$99.87
99495 Transitional care management services for problem of at least moderate complexity	14	14	$397.86	$128.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	476	$219.18	$79.57
99213 Established patient office or other outpatient visit, typically 15 minutes	253	221	$148.63	$51.87
99442 Telephone medical discussion with physician, 11-20 minutes	80	78	$112.55	$52.33
99443 Telephone medical discussion with physician, 21-30 minutes	59	55	$163.44	$80.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	34	$289.46	$112.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$30.24	$8.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$87.57	$26.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	845	530	$208.94	$77.69
99213 Established patient office or other outpatient visit, typically 15 minutes	385	299	$138.48	$50.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	191	175	$286.30	$109.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$207.36	$75.06
99495 Transitional care management services for problem of at least moderate complexity	40	37	$378.50	$108.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$373.86	$163.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$324.36	$128.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	25	$31.73	$8.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$76.66	$25.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$571.00	$165.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	407	293	$183.23	$77.20
99213 Established patient office or other outpatient visit, typically 15 minutes	285	205	$122.64	$50.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$256.49	$110.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	44	$232.68	$110.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$263.08	$125.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$367.29	$164.16
99496 Transitional care management services for problem of high complexity	21	21	$445.90	$158.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$64.59	$25.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$190.01	$76.25

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036068671

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

036068671 (IL)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Stephen Goetter , MD

Internal Medicine

NPI 1003872219

Doctor of Medicine (M.D.)

Feras Shawish

Internal Medicine

NPI 1225786882

Dr. Leidhy Montecinos , MD

Student in an Organized Health Care Education/Training Program

NPI 1336875392

Doctor of Medicine (M.D.)

Dr. William Franklin , MD

Internal Medicine

NPI 1407813389

Doctor of Medicine (M.D.)

Dr. Keith Smith , MD

Internal Medicine

NPI 1659338309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2014

Registered at 304 W HAY ST, STE 312, DECATUR, IL 625266328 (Tel: 2178765600)

📍

Updated Business Mailing Address August 20, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178765600)

👤

Provider Name / Credentials Updated August 20, 2014

Recorded as DAVID BAUMBERGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2014

Internal Medicine (License #036068671 in IL)

🟢

Initial NPI Registration & Enumeration April 26, 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: 1043277064

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: August 20, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178765600

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.