Marc Baumgard, MD
NPI 1801863774 · Emergency Medicine Physician · Lorain, OH
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Baumgard, MD is a Emergency Medicine Physician provider in Lorain, OH (NPI 1801863774).
Provider details
- NPI number
- 1801863774
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
117 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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 81 | $132 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 21 | $192 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 15 | $77 |
Typical Medicare-allowed amounts for these services range $77–$192 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 37 | 36 |
| Methylprednisolone | 31 | 30 |
| Cyclobenzaprine Hcl | 29 | 29 |
| Naproxen | 24 | 24 |
| Ondansetron Hcl | 23 | 23 |
| Ciprofloxacin Hcl | 23 | 21 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 19 |
| Hydrocodone/Acetaminophen |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Marc Baumgard's NPI number?
- Marc Baumgard's National Provider Identifier (NPI) is 1801863774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Baumgard's specialty?
- Marc Baumgard is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Baumgard located?
- Marc Baumgard's practice location on file with NPPES is 3700 Kolbe Rd, Lorain, OH 44053.
- What is Marc Baumgard's phone number?
- The practice phone number listed in the NPPES registry for Marc Baumgard is (440) 960-4000.
- Does Marc Baumgard accept Medicare?
- Marc Baumgard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Baumgard's NPI active?
- Yes — Marc Baumgard's NPI (1801863774) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.