Michael Baumgartner, MD
NPI 1578124970 · Hospitalist Physician · Burlington, WI
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Baumgartner, MD is a Hospitalist Physician provider in Burlington, WI (NPI 1578124970).
Provider details
- NPI number
- 1578124970
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301507733 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
506 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 329 | $78 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 85 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 46 | $125 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 31 | $114 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 15 | $171 |
Typical Medicare-allowed amounts for these services range $78–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 1234 Napier AveSaint Joseph, MI 49085-2112Phone: (269) 985-4632
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Frequently asked questions
- What is Michael Baumgartner's NPI number?
- Michael Baumgartner's National Provider Identifier (NPI) is 1578124970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Baumgartner's specialty?
- Michael Baumgartner is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Baumgartner located?
- Michael Baumgartner's practice location on file with NPPES is 252 Mchenry St, Burlington, WI 53105-1828.
- What is Michael Baumgartner's phone number?
- The practice phone number listed in the NPPES registry for Michael Baumgartner is (262) 767-6000.
- Does Michael Baumgartner accept Medicare?
- Michael Baumgartner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Baumgartner's NPI active?
- Yes — Michael Baumgartner's NPI (1578124970) is active in the NPPES registry as of the last update on 2024-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.