Active NPI 1215014535 Individual Practitioner Male Practitioner

Dr. Anthony Lee Baumgartner , OD

Optometrist • Butte, MT

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Baumgartner, OD is a certified Optometrist practicing in Butte, MT. With approximately 39 years of clinical experience since graduating from Pacific University - College Of Optometry in 1987, Dr. Baumgartner delivers high-quality medical care to the local community at 800 SAMPSON ST.

Dr. Baumgartner does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Sampson St

Butte, MT 597013204

Telephone 4064941700

Fax 4064941040

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1987

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Butte, MT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +12.2 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 21.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Butte, MT (258 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baumgartner (39 Years) 39 Yrs

Butte Specialty Average (26.8 Years) 26.8 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
92014 Established patient complete exam of visual system	222	221	$158.00	$117.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	61	$99.05	$52.93
92134 Imaging of retina	82	74	$54.00	$37.64
92004 New patient complete exam of visual system	46	46	$168.00	$136.86
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$123.00	$84.97
66984 Removal of cataract with insertion of lens	36	20	$163.65	$91.79
92133 Imaging of optic nerve	12	12	$49.00	$33.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	251	251	$148.00	$119.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	57	$89.13	$53.36
92134 Imaging of retina	71	59	$49.00	$38.13
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$134.25	$85.15
66984 Removal of cataract with insertion of lens	37	21	$166.67	$87.61
92004 New patient complete exam of visual system	26	26	$158.00	$141.25
92133 Imaging of optic nerve	16	14	$44.00	$34.69
92250 Photography of the retina	13	12	$35.00	$34.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	222	221	$143.17	$120.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	51	$89.00	$54.07
92134 Imaging of retina	55	51	$49.00	$38.70
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$113.00	$86.58
92004 New patient complete exam of visual system	21	21	$153.29	$143.16
66984 Removal of cataract with insertion of lens	21	13	$134.70	$91.02
92133 Imaging of optic nerve	16	15	$43.13	$34.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	256	255	$137.86	$121.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	57	$84.06	$54.00
92134 Imaging of retina	76	66	$49.00	$39.43
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$108.00	$86.12
66984 Removal of cataract with insertion of lens	25	16	$133.20	$93.38
92004 New patient complete exam of visual system	24	24	$148.00	$144.82
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	11	$62.00	$21.87
92250 Photography of the retina	15	14	$75.00	$37.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	191	191	$132.39	$121.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	60	$79.00	$44.29
92134 Imaging of retina	54	50	$45.14	$38.85
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$97.44	$73.07
92004 New patient complete exam of visual system	31	31	$142.68	$141.96
92133 Imaging of optic nerve	29	27	$42.59	$35.77
66984 Removal of cataract with insertion of lens	20	13	$137.20	$98.26
92250 Photography of the retina	15	14	$72.00	$43.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	200	199	$123.00	$121.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	53	$79.00	$43.79
92134 Imaging of retina	53	51	$38.91	$38.36
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$98.00	$72.05
92004 New patient complete exam of visual system	34	34	$133.00	$131.59
66984 Removal of cataract with insertion of lens	32	20	$140.06	$116.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	22	$62.00	$21.89
92133 Imaging of optic nerve	19	16	$37.37	$33.67
92250 Photography of the retina	13	12	$69.15	$47.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	189	189	$118.70	$115.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	38	$74.00	$40.34
92004 New patient complete exam of visual system	47	47	$128.00	$126.13
66984 Removal of cataract with insertion of lens	35	21	$139.63	$109.21
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$90.45	$66.93
92250 Photography of the retina	31	30	$66.13	$49.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$57.00	$19.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	156	156	$115.36	$110.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	36	$71.00	$39.41
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$86.00	$66.08
66984 Removal of cataract with insertion of lens	27	16	$136.85	$105.71
92250 Photography of the retina	25	23	$58.80	$57.13
92004 New patient complete exam of visual system	25	25	$125.60	$122.67

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MT 520

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

482040 (MT)

Commercial Insurance / Payer ID Railroad Medicare Number

410014030 (MT)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 11, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2009

Registered at 800 SAMPSON ST, BUTTE, MT 597013204 (Tel: 4064941700)

📍

Updated Business Mailing Address March 11, 2009

Registered at 800 SAMPSON ST, BUTTE, MT 597013204 (Tel: 4064941700)

👤

Provider Name / Credentials Updated March 11, 2009

Recorded as ANTHONY BAUMGARTNER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2009

Optometrist (License #520 in MT)

🟢

Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215014535

Entity Type:

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

Enumeration Date: November 01, 2006

Last Update: March 11, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

800 Sampson St

Butte, MT 597013204

Phone: 4064941700

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.