Nicole Baumgartner-Fernandez, DO
Internal Medicine Physician · Reading, PA
Nicole Baumgartner-Fernandez, DO is an internal medicine physician with a practice address in Reading, Pennsylvania, and NPI 1003266396, issued on Jun 16, 2016. Check the license (Pennsylvania OS022984, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Nicole Baumgartner-Fernandez
- Credential
- DO
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- OS022984 PA
U04866 FL
OP61241760 WA
Self-reported in NPPES; status is on the state search - Practice location
- 2500 Bernville RD, Reading, PA 19605
- Phone
- (610) 378-2000
- Enumerated
- Jun 16, 2016
- Record last updated
- Aug 2, 2023
- Fax
- (610) 378-2799
- Medicare enrollment
- Enrolled (PECOS I20230816003789); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,300 in Pennsylvania → Look up another NPI →
Also registered at 2500 Bernville RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Nicole Baumgartner-Fernandez in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license OS022984Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average internal medicine physician in 2024
209 Medicare Part D claims for 97 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.
Most prescribed
- Eliquis16 claims
- Cefdinir14 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): 71.5 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- St Joseph Medical GroupReading, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole Baumgartner-Fernandez among 7,300 internal medicine physician records in Pennsylvania
Nicole Baumgartner-Fernandez, DO is one of 7,300 internal medicine physician records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 65% of them.
- NPI issued2016 · 65% of these records are older, 32% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2016 · median 2008 among the 4,208 with a school on file
- Record last updated2023 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
43 internal medicine physician records list a practice address in Reading
They are 43 of the 1,822 NPPES records with a practice address in Reading, and 7,300 internal medicine physician records in Pennsylvania.
All 7,300 in Pennsylvania → Every provider in Reading → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Sonia Ahluwalia, MDReading, PA 196051053506477
- Zeina Arnouk, M.DReading, PA 196051871886770
- Robert Brackbill, M.D.Reading, PA 196051861498636
- Maria Cristina Frank, MDReading, PA 196051306083076
- Joseph Hassan, M.D.Reading, PA 196051639175383
- Teresa Mercurio, M.D.Reading, PA 196051740241348
- Bichara Muvdi, MDReading, PA 196051679571756
- Hridayesh Nat, MDReading, PA 196051932305745
Common questions
What is Nicole Baumgartner-Fernandez, DO's NPI number?
Nicole Baumgartner-Fernandez, DO's National Provider Identifier (NPI) is 1003266396, issued on Jun 16, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Baumgartner-Fernandez, DO located?
The NPPES record lists a practice address at 2500 Bernville RD, Reading, PA, 19605. Phone: (610) 378-2000. Providers update this record themselves, so call before visiting.
How can I verify Nicole Baumgartner-Fernandez, DO's license?
NPPES lists Pennsylvania license number OS022984, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nicole Baumgartner-Fernandez, DO prescribe under Medicare Part D?
In 2024, Nicole Baumgartner-Fernandez, DO had 209 Medicare Part D claims for 97 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Nicole Baumgartner-Fernandez, DO's MIPS final score?
The 2023 MIPS final score is 71.5 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.