NPPES file of Aug 9, 2026

Keith M. Baumgarten, MD

Orthopaedic Surgery Physician · Tea, SD

Keith M. Baumgarten, MD is an orthopaedic surgery physician with a practice address in Tea, South Dakota, and NPI 1467474452, issued on Jul 25, 2006. Check the license (South Dakota 5643, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1467474452
Name
Keith M. Baumgarten
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
5643 SD
Self-reported in NPPES; status is on the state search
Practice location
2120 Live Stronger St, Tea, SD 57064
Phone
(605) 331-5890
Enumerated
Jul 25, 2006
Record last updated
Apr 22, 2026
Medicaid ID
6402330 SD
Medicare enrollment
Enrolled (PECOS I20050808001083); accepts Medicare assignment
Medical or professional school
Johns Hopkins University School Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2120 Live Stronger St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michael Adler, MDOrthopaedic Surgery Physician1851314124
  2. Gregory Alvine, MDOrthopaedic Surgery of the Spine Physician1861452500
  3. Griffin AndersonAthletic Trainer1982535340
  4. James Brunz, MDPain Medicine (Anesthesiology) Physician1073508131
  5. Kwang Chang, MDPhysical Medicine & Rehabilitation Physician1659385250
  6. Leslie Cleveringa, OTRLHand Occupational Therapist1679997654

Verify Keith M. Baumgarten in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
    Search for license 5643
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Dakota license search

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48% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024

181 Medicare Part D claims for 93 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D.

  1. Keith Baumgarten181
  2. Specialty average346

Most prescribed

  1. Amoxicillin136 claims
  2. Clindamycin Hcl17 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 90.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.7
  2. Costout of 100 · 30%91.7
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $77,586.90

29 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Keith Baumgarten$77,587
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Orthopedic Institute PCYankton, SD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Keith M. Baumgarten among 113 orthopaedic surgery physician records in South Dakota

Keith M. Baumgarten, MD is one of 113 orthopaedic surgery physician records with a practice address in South Dakota. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.

  • NPI issued2006 · 12% of these records are older, 48% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1999 · median 2005 among the 83 with a school on file
  • Record last updated2026 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

12 orthopaedic surgery physician records list a practice address in Tea

They are 12 of the 71 NPPES records with a practice address in Tea, and 113 orthopaedic surgery physician records in South Dakota.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Michael Adler, MDTea, SD 570641851314124
  2. Evan Hermanson, M.D.Tea, SD 570641316039589
  3. Jason Hurd, M.D.Tea, SD 570641447471131
  4. Peter Looby, MDTea, SD 570641659304749
  5. Matthew McKenzie, MDTea, SD 570641720094089
  6. Joshua Meaike, MDTea, SD 570641811494750
  7. Gregory Neely, MDTea, SD 570641912027608
  8. Erik Peterson, M.D.Tea, SD 570641437123320

Common questions

What is Keith M. Baumgarten, MD's NPI number?

Keith M. Baumgarten, MD's National Provider Identifier (NPI) is 1467474452, issued on Jul 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Keith M. Baumgarten, MD located?

The NPPES record lists a practice address at 2120 Live Stronger St, Tea, SD, 57064. Phone: (605) 331-5890. Providers update this record themselves, so call before visiting.

How can I verify Keith M. Baumgarten, MD's license?

NPPES lists South Dakota license number 5643, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Keith M. Baumgarten, MD prescribe under Medicare Part D?

In 2024, Keith M. Baumgarten, MD had 181 Medicare Part D claims for 93 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Keith M. Baumgarten, MD's MIPS final score?

The 2023 MIPS final score is 90.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.