Brian James Baumgartner, MD - Medicare Otolaryngology in Placerville, CA

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Brian James Baumgartner, MD is a medicare enrolled "Otolaryngology" physician in Placerville, California. He graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wilson County Memorial Hospital District and his current practice location is 4300 Golden Center Dr Ste D, Placerville, California. You can reach out to his office (for appointments etc.) via phone at (530) 344-2000.

Brian James Baumgartner is licensed to practice in California (license number A74453) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033181706.

Contact Information

Brian James Baumgartner, MD
4300 Golden Center Dr Ste D,
Placerville, CA 95667-6278
(530) 344-2000
(530) 748-0333

Map and Direction




Physician's Profile

Full NameBrian James Baumgartner
GenderMale
SpecialityOtolaryngology
Experience27 Years
Location4300 Golden Center Dr Ste D, Placerville, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian James Baumgartner graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1033181706
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 10/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517096407
  • Enrollment ID: I20241106002070

Medical Identifiers

Medical identifiers for Brian James Baumgartner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033181706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology A74453 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Connally Memorial Medical CenterFloresville, TXHospital
Methodist Hospital SouthJourdanton, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wilson County Memorial Hospital District620487860622

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian James Baumgartner allows following entities to bill medicare on his behalf.
Entity NameWilson County Memorial Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871599829
PECOS PAC ID: 6204878606
Enrollment ID: O20080807000205

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian James Baumgartner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian James Baumgartner, MD
Po Box 45680,
San Francisco, CA 94145-0680

Ph: (530) 344-2000		Brian James Baumgartner, MD
4300 Golden Center Dr Ste D,
Placerville, CA 95667-6278

Ph: (530) 344-2000

Reviews and Comments


Otolaryngology Doctors in Placerville, CA

Dr. Derald W Rochat, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Fowler Way, Suite C, Placerville, CA 95667
Phone: 530-622-1283    Fax: 530-622-0283
Dr. Reginald Dietel Rice Jr., M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Golden Center Dr, Suite D, Placerville, CA 95667
Phone: 530-344-2000    Fax: 530-344-2014

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.