Active NPI 1801863774 Individual Practitioner Male Practitioner

Dr. Marc Baumgard , MD

Emergency Medicine • Lorain, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Baumgard, MD is a certified Emergency Medicine practicing in Lorain, OH. With approximately 32 years of clinical experience since graduating from West Virginia University School Of Medicine in 1994, Dr. Baumgard delivers high-quality medical care to the local community at 3700 KOLBE RD.

Dr. Baumgard is affiliated with Emergency Medicine Services Of Fl Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3700 Kolbe Rd
Community Health Partner Of Ohio Critical Care

Lorain, OH 44053

Telephone 4409604000

Fax 4402440726

Associated Practice Facility / Clinic

🏢 Lorain Pathology Services Inc Facility NPI 1174561880

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Lorain, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +4.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Lorain, OH (3084 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baumgard (32 Years) 32 Yrs

Lorain Specialty Average (27.3 Years) 27.3 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
99284 Emergency department visit with moderate level of medical decision making	81	71	$678.00	$131.99
99285 Emergency department visit for life threatening or functioning severity	21	20	$984.00	$191.88
99283 Emergency department visit with low level of medical decision making	15	15	$403.00	$77.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	63	57	$904.67	$126.80
99283 Emergency department visit with low level of medical decision making	39	38	$429.10	$73.36
99285 Emergency department visit for life threatening or functioning severity	20	20	$1132.95	$185.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	11	11	$1358.00	$129.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	43	38	$1074.63	$78.12
99284 Emergency department visit with moderate level of medical decision making	34	33	$1515.88	$130.35
99285 Emergency department visit for life threatening or functioning severity	22	22	$2266.00	$185.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	107	106	$1029.34	$70.08
99284 Emergency department visit with moderate level of medical decision making	91	85	$1449.16	$130.32
99285 Emergency department visit for life threatening or functioning severity	69	66	$2159.57	$189.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	91	89	$2087.76	$183.90
99284 Emergency department visit with moderate level of medical decision making	60	60	$1435.60	$124.70
99283 Emergency department visit with low level of medical decision making	53	51	$1012.79	$65.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	35	35	$101.00	$8.83
99291 Critical care, first 30-74 minutes	14	14	$2339.57	$234.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	179	172	$2064.00	$183.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	78	77	$101.00	$8.82
99284 Emergency department visit with moderate level of medical decision making	57	57	$1422.00	$124.44
99283 Emergency department visit with low level of medical decision making	39	38	$956.00	$65.55
99291 Critical care, first 30-74 minutes	17	17	$2291.00	$234.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	152	147	$2027.89	$181.83
99284 Emergency department visit with moderate level of medical decision making	87	84	$1387.61	$123.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	72	69	$98.99	$8.79
99283 Emergency department visit with low level of medical decision making	46	46	$938.00	$65.36
99291 Critical care, first 30-74 minutes	13	13	$2249.08	$234.74

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0263343 (OH)

Hospital & Practice Group Affiliations

Emergency Medicine Services Of Fl Llc

3275 Sw Darwin Blvd, Port Saint Lucie, FL 349533317

Phone: 7723981969

Practice Associates & Co-Workers

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

40 Associated Practitioners

Madison Palmer

Physical Therapy Assistant

NPI 1003790312

Courtney Adelman , PA-C

Physician Assistant - Medical

NPI 1013684125

Physician Assistant (Certified)

Dr. Shelley Burke , MD

Internal Medicine

NPI 1013915321

Doctor of Medicine (M.D.)

Dr. Srinivasa Kunam , MD

Internal Medicine

NPI 1043231046

Doctor of Medicine (M.D.)

Dr. Parke Grocott , PharmD

Pharmacist

NPI 1043637812

Doctor of Pharmacy (Pharm.D.)

Megan Toth , CNP

Nurse Practitioner - Family

NPI 1093388944

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3700 KOLBE RD, COMMUNITY HEALTH PARTNER OF OHIO CRITICAL CARE, LORAIN, OH 44053 (Tel: 4409604000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 221 W 21ST ST, STE 1 C/O MMS, LORAIN, OH 44052 (Tel: 4402440010)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARC BAUMGARD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine

🟢

Initial NPI Registration & Enumeration March 01, 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: 1801863774

Entity Type:

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

Enumeration Date: March 01, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 W 21st St, Ste 1 C/o Mms

Lorain, OH 44052

Phone: 4402440010

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.