Gavin Baumgardner, D.O.
NPI 1538265434 · Hospitalist Physician · Athens, OH
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gavin Baumgardner, D.O. is a Hospitalist Physician provider in Athens, OH (NPI 1538265434).
Provider details
- NPI number
- 1538265434
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 34.007628 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
311 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 81 | $70 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 66 | $73 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 43 | $101 |
| Residence Visit for New Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99344 | 43 | $135 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 39 | $120 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 153 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 550 | 64 |
| Levothyroxine Sodium | 533 | 44 |
| Apixabanbrand: Eliquis | 434 | 35 |
| Memantine Hcl | 331 | 33 |
| Donepezil Hcl | 323 | 36 |
| Sertraline Hcl | 285 | 34 |
| Gabapentin | 279 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$246 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2016-11-11
Frequently asked questions
- What is Gavin Baumgardner's NPI number?
- Gavin Baumgardner's National Provider Identifier (NPI) is 1538265434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gavin Baumgardner's specialty?
- Gavin Baumgardner is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Gavin Baumgardner located?
- Gavin Baumgardner's practice location on file with NPPES is 55 Hospital Dr, Athens, OH 45701-2302.
- What is Gavin Baumgardner's phone number?
- The practice phone number listed in the NPPES registry for Gavin Baumgardner is (740) 593-5551.
- Does Gavin Baumgardner accept Medicare?
- Gavin Baumgardner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gavin Baumgardner's NPI active?
- Yes — Gavin Baumgardner's NPI (1538265434) is active in the NPPES registry as of the last update on 2016-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.