Active NPI 1073577540 Individual Practitioner Male Practitioner

Dr. James Baumgartner , MD

Internal Medicine • Waite Park, MN

Professional Overview & Biography Verified Profile Summary

Dr. James Baumgartner, MD is a registered healthcare professional specializing in Internal Medicine in Waite Park, MN. Practice services are available at 901 3RD ST N under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 3rd St N

Waite Park, MN 563871964

Telephone 3202178480

Fax 3202178490

Associated Practice Facility / Clinic

🏢 Rejuv Medical, P.a. Facility NPI 1033355086

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waite Park, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Waite Park, MN (2726 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	60	28	$7.50	$7.35
99213 Established patient office or other outpatient visit, typically 15 minutes	47	22	$222.39	$88.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$325.68	$124.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	12	$135.45	$55.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	66	30	$7.50	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	28	$325.68	$126.77
99213 Established patient office or other outpatient visit, typically 15 minutes	39	22	$222.39	$89.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	13	$435.12	$177.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	64	33	$7.50	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	33	$325.68	$128.81
99213 Established patient office or other outpatient visit, typically 15 minutes	36	23	$222.39	$90.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	40	$222.39	$74.03
36415 Insertion of needle into vein for collection of blood sample	60	33	$7.50	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	30	$325.68	$108.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	19	$206.00	$70.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	47	$220.32	$72.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	52	$182.82	$70.67
36415 Insertion of needle into vein for collection of blood sample	87	43	$7.50	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	37	$324.46	$105.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	16	$266.91	$101.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$506.09	$196.46
99238 Hospital discharge day management, 30 minutes or less	16	16	$175.31	$71.28
99239 Hospital discharge day management, more than 30 minutes	13	13	$278.08	$104.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	35	$215.70	$69.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	24	$243.00	$101.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	29	$168.00	$70.97
36415 Insertion of needle into vein for collection of blood sample	28	21	$7.50	$2.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$469.00	$197.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$318.39	$104.45

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	124	56	$168.00	$70.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	35	$243.00	$101.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$469.00	$196.55
99239 Hospital discharge day management, more than 30 minutes	30	29	$249.00	$105.14
99238 Hospital discharge day management, 30 minutes or less	19	19	$168.00	$71.00
99225 Subsequent observation care, typically 25 minutes per day	15	11	$165.00	$70.99
99217 Hospital observation care on day of discharge	14	13	$168.00	$71.04

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 21313

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

1073577540 (MN)

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dennis Madden , RD

Dietitian, Registered

NPI 1093008518

Registered Dietitian

Chelsey Haust

Nurse Practitioner

NPI 1144924853

Paige Deters , PA-C

Physician Assistant

NPI 1154970572

Physician Assistant (Certified)

Dr. Joel Baumgartner , MD

Family Medicine - Sports Medicine

NPI 1184679607

Doctor of Medicine (M.D.)

Dr. Whitney Burgess , DPT

Physical Therapist - Orthopedic

NPI 1225471881

Doctor of Physical Therapy

Rebecca Miller , AGNP-C

Nurse Practitioner

NPI 1376318550

Adult-Gerontology Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 12, 2019

Registered at 901 3RD ST N, WAITE PARK, MN 563871964 (Tel: 3202178480)

📍

Updated Business Mailing Address October 23, 2019

Registered at 901 3RD ST N, WAITE PARK, MN 563871964 (Tel: 3203528475)

✅

NPI Profile Active January 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2016

Registered at 523 N 3RD ST, BRAINERD, MN 564013054 (Tel: 2188292861)

📍

Updated Business Mailing Address January 07, 2016

Registered at 523 N 3RD ST, BRAINERD, MN 564013054 (Tel: 2188292861)

👤

Provider Name / Credentials Updated January 07, 2016

Recorded as JAMES BAUMGARTNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2016

Internal Medicine (License #21313 in MN)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1073577540

Entity Type:

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

Enumeration Date: April 13, 2006

Last Update: January 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

901 3rd St N

Waite Park, MN 563871964

Phone: 3203528475

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.