Megan Baumgart, M.D.
NPI 1881896157 · Medical Oncology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Megan Baumgart, M.D. is a Medical Oncology Physician provider in Rochester, NY (NPI 1881896157).
Provider details
- NPI number
- 1881896157
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 274906 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
340 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 123 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 106 | $137 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 81 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 30 | $63 |
Typical Medicare-allowed amounts for these services range $16–$137 (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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prochlorperazine Maleate | 63 | 43 |
| Ondansetron Hcl | 51 | 41 |
| Levothyroxine Sodium | 32 | 12 |
| Oxycodone Hcl | 21 | 12 |
| Gabapentin | 19 | — |
| Dexamethasone | 19 | 15 |
| Prednisone | 13 | 11 |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2023-03-21
Frequently asked questions
- What is Megan Baumgart's NPI number?
- Megan Baumgart's National Provider Identifier (NPI) is 1881896157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Megan Baumgart's specialty?
- Megan Baumgart is listed in the NPPES registry with a primary specialty of Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Megan Baumgart located?
- Megan Baumgart's practice location on file with NPPES is 601 Elmwood Ave, Rochester, NY 14642-3220.
- What is Megan Baumgart's phone number?
- The practice phone number listed in the NPPES registry for Megan Baumgart is (585) 275-5863.
- Does Megan Baumgart accept Medicare?
- Megan Baumgart is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Megan Baumgart's NPI active?
- Yes — Megan Baumgart's NPI (1881896157) is active in the NPPES registry as of the last update on 2023-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.