Maria Baumgartner, MD
NPI 1891322996 · Family Medicine Physician · Braselton, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maria Baumgartner, MD is a Family Medicine Physician provider in Braselton, GA (NPI 1891322996).
Provider details
- NPI number
- 1891322996
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
340 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 115 | $123 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 73 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 56 | $90 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 33 | $122 |
| 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 | 31 | $16 |
| Hemoglobin A1c Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 67 | 32 |
| Escitalopram Oxalate | 56 | 27 |
| Rosuvastatin Calcium | 55 | 28 |
| Lisinopril | 53 | 21 |
| Prednisone | 47 | 44 |
| Gabapentin | 46 | 15 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$114 across 2 records (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
Additional practice locations (1)
- 7315 212th St SwEdmonds, WA 98026-7610Phone: (425) 775-9474Fax: (425) 670-3554
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Maria Baumgartner's NPI number?
- Maria Baumgartner's National Provider Identifier (NPI) is 1891322996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maria Baumgartner's specialty?
- Maria Baumgartner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Maria Baumgartner located?
- Maria Baumgartner's practice location on file with NPPES is 1515 River Pl Ste 310, Braselton, GA 30517-5606.
- What is Maria Baumgartner's phone number?
- The practice phone number listed in the NPPES registry for Maria Baumgartner is (770) 848-9310.
- Does Maria Baumgartner accept Medicare?
- Maria Baumgartner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maria Baumgartner's NPI active?
- Yes — Maria Baumgartner's NPI (1891322996) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.