NPPES file of Aug 9, 2026

Michael R. Baumgartner, MD

Hospitalist Physician · Burlington, WI

Michael R. Baumgartner, MD is a hospitalist physician with a practice address in Burlington, Wisconsin, and NPI 1578124970, issued on Jun 26, 2019. Check the license (Wisconsin 84231-20, as entered in NPPES) on the Wisconsin Medical Examining Board; 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
1578124970
Name
Michael R. Baumgartner
Credential
MD
Primary taxonomy
Hospitalist Physician 208M00000X
License numbers
84231-20 WI
4301507733 MI
4351045428 MI
Self-reported in NPPES; status is on the state search
Practice location
252 Mchenry St, Burlington, WI 53105
Phone
(262) 767-6000
Enumerated
Jun 26, 2019
Record last updated
Nov 6, 2024
Medicaid ID
100287864 WI
Medicare enrollment
Enrolled (PECOS I20240920001652); accepts Medicare assignment
Medical or professional school
Michigan State University College Of Human Medicine, 2015
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 252 Mchenry St

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

  1. Syed Ali, M.D.Hospitalist Physician1952519142
  2. Brooke Beck, FNP-CNurse Practitioner1760837793
  3. Paras Bhavsar, M.D.Anesthesiology Physician1912252719
  4. Deanna Boettcher, PTPhysical Therapist1477757482
  5. Aaron Brown, ACNPNurse Practitioner1831656362
  6. Melinee Burnett, PAPhysician Assistant1104822493

Verify Michael R. Baumgartner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 84231-20
    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 Wisconsin license search

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69% fewer Medicare Part D claims than the average hospitalist physician in 2024

163 Medicare Part D claims for 67 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D.

  1. Michael Baumgartner163
  2. Specialty average521

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 MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. 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 score87.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Bills Medicare through one group practice

  1. Aurora Medical Group, Inc.Burlington, WI

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

Michael R. Baumgartner among 894 hospitalist physician records in Wisconsin

Michael R. Baumgartner, MD is one of 894 hospitalist physician records with a practice address in Wisconsin. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 74% of them.

  • NPI issued2019 · 74% of these records are older, 20% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 86% of these records are
  • Graduated2015 · median 2011 among the 768 with a school on file
  • Record last updated2024 · 29% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 hospitalist physician records list a practice address in Burlington

They are 10 of the 464 NPPES records with a practice address in Burlington, and 894 hospitalist physician records in Wisconsin.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Syed Ali, M.D.Burlington, WI 531051952519142
  2. Aaditya Chandramouli, MDBurlington, WI 531051811493703
  3. Preethi Donakonda, M.D.Burlington, WI 531051376559161
  4. Nguyen Ha, M.DBurlington, WI 531051366983686
  5. Peter MassartBurlington, WI 531051598828790
  6. Nicholas Otten, MDBurlington, WI 531051013277714
  7. Arti Patel, DOBurlington, WI 531051255991907
  8. Sahil Sharma, MDBurlington, WI 531051811282320

Common questions

What is Michael R. Baumgartner, MD's NPI number?

Michael R. Baumgartner, MD's National Provider Identifier (NPI) is 1578124970, issued on Jun 26, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Michael R. Baumgartner, MD located?

The NPPES record lists a practice address at 252 Mchenry St, Burlington, WI, 53105. Phone: (262) 767-6000. Providers update this record themselves, so call before visiting.

How can I verify Michael R. Baumgartner, MD's license?

NPPES lists Wisconsin license number 84231-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael R. Baumgartner, MD prescribe under Medicare Part D?

In 2024, Michael R. Baumgartner, MD had 163 Medicare Part D claims for 67 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Michael R. Baumgartner, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100. 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.