Active NPI 1467474452 Individual Practitioner Male Practitioner

Dr. Keith M Baumgarten , MD

Orthopaedic Surgery • Tea, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Baumgarten, MD is a certified Orthopaedic Surgery practicing in Tea, SD. With approximately 27 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1999, Dr. Baumgarten delivers high-quality medical care to the local community at 2120 LIVE STRONGER ST.

Dr. Baumgarten is affiliated with Orthopedic Institute Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of shoulder, minimum of 2 views, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2120 Live Stronger St

Tea, SD 570648331

Telephone 6053315890

Associated Practice Facility / Clinic

🏢 Orthopedic Institute Pc Facility NPI 1245263326

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tea, SD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Tea, SD (120 Statewide)

Telehealth Adoption Rate

41.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baumgarten (27 Years) 27 Yrs

Tea Specialty Average (24.3 Years) 24.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,828	266	$4.00	$0.98
73030 X-ray of shoulder, minimum of 2 views	611	402	$132.00	$31.88
20610 Aspiration and/or injection of fluid from large joint	310	267	$348.35	$66.64
99213 Established patient office or other outpatient visit, typically 15 minutes	307	271	$186.00	$87.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	117	$270.00	$123.11
73564 X-ray of knee, 4 or more views	99	86	$176.00	$44.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$266.00	$107.32
23472 Prosthetic repair of shoulder joint, total shoulder	60	60	$8866.00	$1320.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$405.00	$160.84
73221 Mri scan of arm joint without contrast	34	32	$2023.00	$202.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	27	27	$1058.00	$156.29
73562 X-ray of knee, 3 views	25	22	$157.00	$35.10
29827 Repair of shoulder rotator cuff using an endoscope	23	22	$6547.00	$1000.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$113.00	$54.90
27447 Replacement of knee joint, both sides of knee	19	19	$8250.00	$1188.22
77073 Imaging for bone length assessment	17	17	$176.00	$36.10
73020 X-ray of shoulder, 1 view	14	12	$85.00	$20.02
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$195.00	$40.01
73560 X-ray of knee, 1-2 views	14	11	$134.00	$31.96
73080 X-ray of elbow, minimum of 3 views	13	12	$124.00	$31.03
29828 Release of shoulder biceps tendon using an endoscope	12	12	$5623.00	$452.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,158	230	$4.00	$1.07
73030 X-ray of shoulder, minimum of 2 views	635	416	$132.00	$32.32
20610 Aspiration and/or injection of fluid from large joint	365	317	$345.55	$67.24
99213 Established patient office or other outpatient visit, typically 15 minutes	289	257	$186.00	$88.59
J1030 Injection, methylprednisolone acetate, 40 mg	275	113	$15.00	$7.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	122	$270.00	$125.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$266.00	$108.55
73564 X-ray of knee, 4 or more views	115	91	$176.00	$42.81
23472 Prosthetic repair of shoulder joint, total shoulder	72	69	$8866.00	$1357.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	50	$113.00	$55.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$405.00	$162.72
73221 Mri scan of arm joint without contrast	30	30	$2023.00	$209.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	26	26	$1058.00	$160.97
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$195.00	$41.10
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$6547.00	$1023.21
73562 X-ray of knee, 3 views	22	19	$157.00	$31.98
73080 X-ray of elbow, minimum of 3 views	22	20	$124.00	$30.84
73020 X-ray of shoulder, 1 view	19	19	$85.00	$20.13
27447 Replacement of knee joint, both sides of knee	17	17	$8250.00	$1217.24
73560 X-ray of knee, 1-2 views	14	13	$134.00	$33.41
J1040 Injection, methylprednisolone acetate, 80 mg	13	11	$29.00	$12.22
29828 Release of shoulder biceps tendon using an endoscope	12	12	$5623.00	$460.70
73502 X-ray of hip, 2-3 views	11	11	$182.00	$38.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	629	66	$4.00	$1.16
73030 X-ray of shoulder, minimum of 2 views	547	373	$125.28	$32.70
J1030 Injection, methylprednisolone acetate, 40 mg	487	192	$15.00	$6.41
20610 Aspiration and/or injection of fluid from large joint	306	266	$345.57	$67.14
99213 Established patient office or other outpatient visit, typically 15 minutes	254	229	$186.00	$88.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$266.00	$109.12
73564 X-ray of knee, 4 or more views	108	90	$149.09	$39.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	94	$270.00	$125.80
23472 Prosthetic repair of shoulder joint, total shoulder	53	52	$8866.00	$1343.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	47	$113.00	$55.47
J1040 Injection, methylprednisolone acetate, 80 mg	37	31	$29.00	$11.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$405.00	$158.94
73221 Mri scan of arm joint without contrast	34	33	$2023.00	$212.56
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	28	28	$1058.00	$155.43
73080 X-ray of elbow, minimum of 3 views	23	22	$115.57	$29.26
27447 Replacement of knee joint, both sides of knee	21	19	$8250.00	$1215.09
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$6547.00	$970.24
73020 X-ray of shoulder, 1 view	20	20	$85.00	$21.51
29828 Release of shoulder biceps tendon using an endoscope	19	19	$5623.00	$517.74
73562 X-ray of knee, 3 views	19	19	$143.00	$37.49
73502 X-ray of hip, 2-3 views	18	17	$156.44	$41.56
77073 Imaging for bone length assessment	13	12	$126.15	$32.68
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$146.42	$39.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	756	273	$15.00	$5.61
73030 X-ray of shoulder, minimum of 2 views	557	359	$121.07	$31.31
20610 Aspiration and/or injection of fluid from large joint	330	276	$349.12	$66.75
99213 Established patient office or other outpatient visit, typically 15 minutes	204	179	$186.00	$88.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	128	$270.00	$126.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	120	$113.00	$55.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$266.00	$109.47
73564 X-ray of knee, 4 or more views	107	83	$159.20	$41.20
23472 Prosthetic repair of shoulder joint, total shoulder	54	54	$8866.00	$1392.05
73221 Mri scan of arm joint without contrast	38	36	$2023.00	$219.31
73562 X-ray of knee, 3 views	32	28	$120.91	$31.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$405.00	$160.22
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	28	28	$1058.00	$164.86
29827 Repair of shoulder rotator cuff using an endoscope	23	23	$6547.00	$1032.63
73080 X-ray of elbow, minimum of 3 views	23	19	$110.17	$28.79
27447 Replacement of knee joint, both sides of knee	22	18	$8437.50	$1260.31
73502 X-ray of hip, 2-3 views	21	21	$153.57	$40.07
73020 X-ray of shoulder, 1 view	19	18	$79.32	$20.05
J1040 Injection, methylprednisolone acetate, 80 mg	16	14	$29.00	$10.68
73560 X-ray of knee, 1-2 views	14	12	$112.43	$26.48
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$158.31	$42.40
72050 X-ray of upper spine, 4 or 5 views	12	12	$189.25	$49.94
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	12	11	$512.50	$101.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	716	262	$15.00	$6.04
73030 X-ray of shoulder, minimum of 2 views	447	320	$131.51	$31.96
20610 Aspiration and/or injection of fluid from large joint	341	264	$370.98	$64.80
99213 Established patient office or other outpatient visit, typically 15 minutes	164	146	$162.29	$74.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	157	$252.96	$107.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$238.65	$106.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	95	$98.58	$45.20
73564 X-ray of knee, 4 or more views	71	58	$161.58	$42.81
23472 Prosthetic repair of shoulder joint, total shoulder	54	51	$8713.26	$1418.32
73221 Mri scan of arm joint without contrast	40	39	$1986.88	$229.04
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	37	37	$1048.00	$170.09
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$6443.21	$1051.63
73562 X-ray of knee, 3 views	21	17	$133.19	$34.58
29828 Release of shoulder biceps tendon using an endoscope	19	19	$5558.26	$537.58
J1040 Injection, methylprednisolone acetate, 80 mg	18	16	$28.56	$11.52
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$4097.25	$289.58
72141 MRI scan of upper spinal canal	15	15	$2026.87	$204.52
27447 Replacement of knee joint, both sides of knee	14	13	$8172.64	$1327.79
73502 X-ray of hip, 2-3 views	14	13	$146.43	$37.54
73020 X-ray of shoulder, 1 view	11	11	$91.36	$21.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	690	267	$15.00	$6.31
73030 X-ray of shoulder, minimum of 2 views	405	281	$142.00	$30.01
20610 Aspiration and/or injection of fluid from large joint	325	268	$413.74	$63.38
99213 Established patient office or other outpatient visit, typically 15 minutes	223	190	$138.00	$73.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$204.00	$106.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	107	$83.00	$44.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	107	$205.00	$107.00
23472 Prosthetic repair of shoulder joint, total shoulder	61	59	$8489.00	$1402.92
73564 X-ray of knee, 4 or more views	52	44	$154.00	$41.64
73020 X-ray of shoulder, 1 view	36	35	$99.00	$23.65
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	30	30	$1021.00	$169.55
73221 Mri scan of arm joint without contrast	24	24	$1938.00	$234.10
29827 Repair of shoulder rotator cuff using an endoscope	21	21	$6246.00	$1036.00
29828 Release of shoulder biceps tendon using an endoscope	16	16	$5377.00	$516.79
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$3948.00	$327.59
73560 X-ray of knee, 1-2 views	14	13	$115.00	$32.28
27447 Replacement of knee joint, both sides of knee	14	13	$7889.00	$1316.24
72050 X-ray of upper spine, 4 or 5 views	11	11	$197.00	$46.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	719	287	$15.00	$6.67
73030 X-ray of shoulder, minimum of 2 views	430	290	$142.00	$28.88
20610 Aspiration and/or injection of fluid from large joint	364	289	$420.66	$63.03
99213 Established patient office or other outpatient visit, typically 15 minutes	177	162	$138.00	$71.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	105	$205.00	$104.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$204.00	$105.04
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$142.00	$73.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	72	$83.00	$42.78
23472 Prosthetic repair of shoulder joint, total shoulder	59	58	$8489.00	$1396.45
73564 X-ray of knee, 4 or more views	50	40	$154.00	$39.28
73221 Mri scan of arm joint without contrast	28	28	$1938.00	$236.18
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	28	27	$1021.00	$162.48
73560 X-ray of knee, 1-2 views	26	21	$115.00	$30.76
72050 X-ray of upper spine, 4 or 5 views	25	25	$197.00	$44.75
J1040 Injection, methylprednisolone acetate, 80 mg	24	17	$27.00	$12.84
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$6246.00	$977.82
27447 Replacement of knee joint, both sides of knee	19	19	$7889.00	$1299.41
73020 X-ray of shoulder, 1 view	18	17	$99.00	$22.58
29824 Partial removal of collar bone at shoulder using an endoscope	14	13	$3948.00	$322.59
29828 Release of shoulder biceps tendon using an endoscope	12	12	$5377.00	$472.05
72141 MRI scan of upper spinal canal	11	11	$2069.00	$223.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	615	263	$14.23	$5.75
20610 Aspiration and/or injection of fluid from large joint	328	262	$409.95	$61.60
73030 X-ray of shoulder, minimum of 2 views	269	199	$140.73	$28.21
99213 Established patient office or other outpatient visit, typically 15 minutes	133	117	$137.93	$71.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	121	$204.95	$105.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$203.90	$104.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	52	$83.00	$42.62
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$142.00	$71.25
73564 X-ray of knee, 4 or more views	52	42	$154.00	$39.14
73221 Mri scan of arm joint without contrast	45	22	$1119.73	$123.30
23472 Prosthetic repair of shoulder joint, total shoulder	41	40	$8489.00	$1330.53
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	29	$1021.00	$167.50
J1040 Injection, methylprednisolone acetate, 80 mg	26	21	$27.00	$10.92
29827 Repair of shoulder rotator cuff using an endoscope	24	24	$6246.00	$1017.73
73020 X-ray of shoulder, 1 view	21	19	$99.00	$21.91
27447 Replacement of knee joint, both sides of knee	20	20	$7889.00	$1265.10
72050 X-ray of upper spine, 4 or 5 views	18	18	$197.00	$44.59
73560 X-ray of knee, 1-2 views	17	14	$115.00	$30.33
29828 Release of shoulder biceps tendon using an endoscope	16	16	$5377.00	$509.69
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$3948.00	$288.67

Medical Specialties & State Licenses

CMS Verified: 2026-04-22

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License SD 5643

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6402330 (SD)

Commercial Insurance / Payer ID Railroad Medicare

P00380163 (SD)

Hospital & Practice Group Affiliations

Orthopedic Institute Pc

810 E 23rd St, Sioux Falls, SD 571052135

Orthopedic Institute Pc

1300 S Burr St, Mitchell, SD 573014551

Phone: 6053315890

Orthopedic Institute Pc

407 22nd Ave, Brookings, SD 570062427

Phone: 6053315890

Orthopedic Institute Pc

1101 Broadway Ave, Yankton, SD 570782835

Phone: 6053315890

Orthopedic Institute Pc

2120 Live Stronger St, Tea, SD 570648331

Phone: 6053315890

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Walter Carlson , MD

Orthopaedic Surgery

NPI 1003823170

Doctor of Medicine (M.D.)

Megan Cook

Physical Therapist

NPI 1013146935

John Oldenkamp , PA-C

Physician Assistant

NPI 1013740091

Physician Assistant (Certified)

Scott Mcpherson

Orthopaedic Surgery - Hand Surgery

NPI 1013993195

Shelly Price , PT

Physical Therapist

NPI 1033188420

Physical Therapist

Dr. Aaron Olson , DPT, ATC, CSCS

Physical Therapist - Orthopedic

NPI 1033556014

Doctor of Physical Therapy, Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 22, 2026

Registered at 2120 LIVE STRONGER ST, TEA, SD 570648331 (Tel: 6053315890)

📍

Updated Business Mailing Address April 22, 2026

Registered at 2120 LIVE STRONGER ST, TEA, SD 570648331 (Tel: 6053315890)

✅

NPI Profile Active January 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2008

Registered at 810 E 23RD ST, SIOUX FALLS, SD 571052135 (Tel: 6053315890)

📍

Updated Business Mailing Address January 23, 2008

Registered at PO BOX 5116, SIOUX FALLS, SD 571175116 (Tel: 6053315890)

👤

Provider Name / Credentials Updated January 23, 2008

Recorded as KEITH BAUMGARTEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2008

Orthopaedic Surgery (License #5643 in SD)

🟢

Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467474452

Entity Type:

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

Enumeration Date: July 25, 2006

Last Update: April 22, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2120 Live Stronger St

Tea, SD 570648331

Phone: 6053315890

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.