2026 NPPES data Family Medicine Physician NPI 1861122277 MD
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ELIZABETH BAUMGARTNER, MD

Family Medicine Physician in MONROE, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
917
Medicare Part D claims · 112 beneficiaries · Family Medicine Physician avg: 3K
What the federal data reveals: ELIZABETH BAUMGARTNER, MD is a Family Medicine Physician ([object Object]) practicing in MONROE, Wisconsin with a Medicare Part D prescribing footprint of 917 claims across 112 beneficiaries .

What stands out: ELIZABETH BAUMGARTNER, MD filed 917 Medicare Part D claims in 2023 across MONROE, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ELIZABETH BAUMGARTNER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ELIZABETH BAUMGARTNER, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/16/2022

NPI 1861122277

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

917 73% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Wisconsin

How Family Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Family Medicine Physician share within Wisconsin

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ELIZABETH BAUMGARTNER, MD is a Family Medicine Physician provider practicing in MONROE, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1861122277. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELIZABETH BAUMGARTNER, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 515 22ND AVE, MONROE, WI, 53566, with a listed phone of (608) 324-1000. NPI 1861122277 was issued on 06/16/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAUMGARTNER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 917 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $97K in drug spend, with an opioid prescribing rate of 2.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

515 22ND AVE
MONROE, WI 53566

Provider Details

NPI 1861122277
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 06/16/2022

Hospital and facility affiliations

Facilities where ELIZABETH BAUMGARTNER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

THE MONROE CLINIC, INC.
MONROE, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

917
Total Claims
$97K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,819
Total Day Supply
53,069
Generic Drug Cost
$14K
Opioid Claims
27 (2.9% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
1.20
Gender Split
48% female / 52% male
Age Distribution
<65: 35, 65-74: 50, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Lisinopril
74
Atorvastatin Calcium
65
Levothyroxine Sodium
59
Amlodipine Besylate
40
Gabapentin
33
Losartan Potassium
27
Simvastatin
25
Trazodone Hcl
24
Hydrochlorothiazide
23
Pantoprazole Sodium
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How ELIZABETH BAUMGARTNER, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ELIZABETH BAUMGARTNER, MD's 917 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as BAUMGARTNER.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELIZABETH BAUMGARTNER, MD's specialty?
ELIZABETH BAUMGARTNER, MD specializes in Family Medicine Physician and practices in MONROE, Wisconsin. Credentials: MD.
How much does ELIZABETH BAUMGARTNER, MD prescribe under Medicare Part D?
In 2023, ELIZABETH BAUMGARTNER, MD wrote 917 Medicare Part D claims totaling $97K in drug costs for 112 beneficiaries.
Where is ELIZABETH BAUMGARTNER, MD located?
ELIZABETH BAUMGARTNER, MD is located at 515 22ND AVE, MONROE, WI, 53566. Phone: (608) 324-1000.
What is ELIZABETH BAUMGARTNER, MD's NPI number?
ELIZABETH BAUMGARTNER, MD's National Provider Identifier (NPI) is 1861122277, issued on 06/16/2022.
Does ELIZABETH BAUMGARTNER, MD prescribe opioids?
Yes, ELIZABETH BAUMGARTNER, MD had 27 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ELIZABETH BAUMGARTNER, MD prescribe most often?
Based on 2023 Medicare Part D data, ELIZABETH BAUMGARTNER, MD's most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELIZABETH BAUMGARTNER, MD accept Medicare?
ELIZABETH BAUMGARTNER, MD appears in CMS Medicare data with 917 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELIZABETH BAUMGARTNER, MD's credentials?
ELIZABETH BAUMGARTNER, MD's NPI is 1861122277 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology