Active NPI 1205488970 Individual Practitioner Male Practitioner

Gregory Baumgartner

Physician Assistant • Centereach, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gregory Baumgartner is a certified Physician Assistant practicing in Centereach, NY. With approximately 7 years of clinical experience since completing medical education in 2019, Gregory Baumgartner delivers high-quality medical care to the local community at 122 RONKONKOMA BLVD.

Gregory Baumgartner is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 Ronkonkoma Blvd

Centereach, NY 117203314

Telephone 6316556484

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centereach, NY

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -4.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Centereach, NY (15701 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baumgartner (7 Years) 7 Yrs

Centereach Specialty Average (11.5 Years) 11.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	395	387	$206.73	$87.57
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	150	148	$150.00	$67.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	145	$300.00	$121.92
81003 Automated urinalysis test	74	72	$8.00	$2.17
71046 X-ray of chest, 2 views	56	56	$110.00	$31.81
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	52	52	$30.00	$16.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$301.96	$107.13
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$30.00	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	24	24	$100.00	$34.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$458.00	$162.70
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$48.00	$14.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$123.00	$55.26
73630 X-ray of foot, minimum of 3 views	15	15	$83.00	$30.81
73610 X-ray of ankle, minimum of 3 views	11	11	$90.00	$32.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	416	398	$206.36	$90.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	193	$300.00	$126.18
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	152	151	$100.00	$34.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	106	54	$30.00	$15.78
81002 Urinalysis, manual test	69	69	$9.00	$3.41
71046 X-ray of chest, 2 views	65	65	$110.00	$33.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$301.94	$113.53
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	59	58	$30.00	$15.93
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	51	51	$150.00	$29.73
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$48.00	$14.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$458.00	$168.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$139.09	$52.44
82962 Blood glucose (sugar) test performed by hand-held instrument	17	17	$8.00	$3.21
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$55.00	$9.76
73630 X-ray of foot, minimum of 3 views	15	13	$83.00	$35.31
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	14	13	$1.00	$0.14
73562 X-ray of knee, 3 views	14	12	$103.00	$41.87
73610 X-ray of ankle, minimum of 3 views	13	11	$90.00	$38.70
81025 Urine pregnancy test	12	12	$22.00	$8.44
36415 Insertion of needle into vein for collection of blood sample	11	11	$8.00	$7.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	427	417	$205.12	$92.26
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	421	407	$100.00	$34.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	174	$300.00	$130.01
87804 Detection test by immunoassay with direct visual observation for influenza virus	144	71	$30.00	$16.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$301.98	$115.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	92	$123.00	$58.23
71046 X-ray of chest, 2 views	78	78	$110.00	$34.86
81002 Urinalysis, manual test	56	54	$9.00	$3.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$458.00	$174.12
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$210.00	$76.50
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	32	$30.00	$16.27
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$48.00	$15.18
73130 X-ray of hand, minimum of 3 views	12	12	$89.00	$38.68
73630 X-ray of foot, minimum of 3 views	12	12	$83.00	$37.12
69210 Removal of impacted ear wax	11	11	$140.00	$51.11
36415 Insertion of needle into vein for collection of blood sample	11	11	$8.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	431	426	$100.00	$35.33
99213 Established patient office or other outpatient visit, typically 15 minutes	257	255	$209.61	$93.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	239	$309.03	$131.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$309.04	$116.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$465.97	$173.09
71046 X-ray of chest, 2 views	59	59	$110.03	$33.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	48	$124.02	$57.65
81003 Automated urinalysis test	41	40	$19.27	$2.25
36415 Insertion of needle into vein for collection of blood sample	20	20	$14.99	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$49.71	$15.58
99285 Emergency department visit for life threatening or functioning severity	19	19	$1467.00	$185.76
81002 Urinalysis, manual test	17	17	$9.00	$3.48
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$210.85	$75.96
73630 X-ray of foot, minimum of 3 views	12	11	$172.63	$36.26
73610 X-ray of ankle, minimum of 3 views	12	11	$173.82	$38.79
82962 Blood glucose (sugar) test performed by hand-held instrument	12	12	$15.00	$3.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	40	$333.00	$38.52
99285 Emergency department visit for life threatening or functioning severity	37	36	$1467.00	$175.88
99284 Emergency department visit with moderate level of medical decision making	28	28	$996.00	$118.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	26	$879.00	$103.51
36410 Insertion of needle into vein, patient 3 years or older	19	18	$81.00	$9.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$615.00	$71.83

Medical Specialties & State Licenses

CMS Verified: 2021-02-05

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 024218

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

301 E Main St, Bay Shore, NY 117068408

North Shore-Lij Medical Pc

300 Community Dr Ll, Manhasset, NY 110303816

Phone: 5165622229

North Shore-Lij Medical Pc

350 Community Dr, Manhasset, NY 110303816

Phone: 5165623845

North Shore-Lij Medical Pc

300 Community Dr, Manhasset, NY 110303816

North Shore-Lij Medical Pc

330 Community Dr, Manhasset, NY 110303816

Phone: 5167082550

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 12, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2019

Registered at 122 RONKONKOMA BLVD, CENTEREACH, NY 117203314 (Tel: 6316556484)

📍

Updated Business Mailing Address July 12, 2019

Registered at 122 RONKONKOMA BLVD, CENTEREACH, NY 117203314 (Tel: 6316556484)

👤

Provider Name / Credentials Updated July 12, 2019

Recorded as GREGORY BAUMGARTNER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 12, 2019

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: 1205488970

Entity Type:

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

Enumeration Date: July 12, 2019

Last Update: February 05, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

122 Ronkonkoma Blvd

Centereach, NY 117203314

Phone: 6316556484

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.