David W Baumberger, MD - Medicare Internal Medicine in Decatur, IL

David W Baumberger, MD is a medicare enrolled "Internal Medicine" physician in Decatur, Illinois. He went to Illinois Medical College and graduated in 1980 and has 44 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Decatur Memorial Hospital and his current practice location is 304 W Hay St, Ste 312, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 876-5600.

David W Baumberger is licensed to practice in Illinois (license number 036068671) 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 1043277064.

Contact Information

David W Baumberger, MD
304 W Hay St, Ste 312,
Decatur, IL 62526-6328
(217) 876-5600
(217) 876-5664

Map and Direction




Physician's Profile

Full NameDavid W Baumberger
GenderMale
SpecialityInternal Medicine
Experience44 Years
Location304 W Hay St, Decatur, Illinois
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:
  • David W Baumberger attended and graduated from Illinois Medical College in 1980
  NPI Data:
  • NPI Number: 1043277064
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 08/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8527057512
  • Enrollment ID: I20040506000659

Medical Identifiers

Medical identifiers for David W Baumberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043277064NPI-NPPES
036068671MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036068671 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elara Caring VSpringfield, ILHome health agency
Advanced Healthcare Services, LlcSpringfield, ILHome health agency
Hospice Care Of IllinoisSpringfield, ILHospice
Decatur Memorial HospitalDecatur, ILHospital
St Marys HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Memorial Hospital6204731144134

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. David W Baumberger allows following entities to bill medicare on his behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685

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. David W Baumberger 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
David W Baumberger, MD
2300 N Edward St, Gsbll,
Decatur, IL 62526-4163

Ph: (217) 876-5600
David W Baumberger, MD
304 W Hay St, Ste 312,
Decatur, IL 62526-6328

Ph: (217) 876-5600

Reviews and Comments


Internal Medicine Doctors in Decatur, IL

Dr. Jeanne Marie Kairouz, MD
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Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521
Phone: 217-422-6100    
Dr. Stephen R Goetter, M.D.
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Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526
Phone: 217-876-5600    Fax: 217-876-5664
Dr. Prameeta Jha,
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Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526
Phone: 217-876-3660    Fax: 217-876-3665
Dr. Ahmad H Ahmad, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521
Phone: 217-428-7921    Fax: 217-428-7931
Nadal M Aker, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405
Omar Mohammad Al-heeti, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 102 W Kenwood Ave, Decatur, IL 62526
Phone: 217-545-8000    

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.