Dr Gavin Paul Baumgardner, DO - Medicare Internal Medicine in Athens, OH

Dr Gavin Paul Baumgardner, DO is a medicare enrolled "Hospitalist" physician in Athens, Ohio. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 55 Hospital Dr, Suite 1545, Athens, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 593-5551.

Dr Gavin Paul Baumgardner is licensed to practice in Ohio (license number 34.007628) 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 1538265434.

Contact Information

Dr Gavin Paul Baumgardner, DO
55 Hospital Dr, Suite 1545,
Athens, OH 45701-2302
(740) 593-5551
(614) 923-7813

Map and Direction




Physician's Profile

Full NameDr Gavin Paul Baumgardner
GenderMale
SpecialityInternal Medicine
Experience24 Years
Location55 Hospital Dr, Athens, Ohio
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:
  • Dr Gavin Paul Baumgardner attended and graduated from Ohio University, College Of Osteopathic Medicine in 2000
  NPI Data:
  • NPI Number: 1538265434
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 11/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921065392
  • Enrollment ID: I20071203000258

Medical Identifiers

Medical identifiers for Dr Gavin Paul Baumgardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538265434NPI-NPPES
2347320MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 34.007628 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Queen City Hospice And Palliative CareCincinnati, OHHospice
Tridia Hospice And Palliative CareColumbus, OHHospice
National Church Residences H&c Services Central OhColumbus, OHHospice
Fayette County Memorial HospitalWashington ch, OHHospital
The Sanctuary At Tuttle CrossingDublin, OHNursing home
Trueman Pointe Care CenterHilliard, OHNursing home

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. Dr Gavin Paul Baumgardner allows following entities to bill medicare on his behalf.
Entity NameClinical Care Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881136414
PECOS PAC ID: 1850677733
Enrollment ID: O20170406002646

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. Dr Gavin Paul Baumgardner 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
Dr Gavin Paul Baumgardner, DO
Po Box 920,
Dublin, OH 43017-6920

Ph: (614) 595-1055
Dr Gavin Paul Baumgardner, DO
55 Hospital Dr, Suite 1545,
Athens, OH 45701-2302

Ph: (740) 593-5551

Reviews and Comments


Hospitalist Doctors in Athens, OH

Jacob William Snyder, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 55 Hospital Dr, Athens, OH 45701
Phone: 740-593-5991    
Amber Gokkaya, FNP-C
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 55 Hospital Dr, Athens, OH 45701
Phone: 740-593-5551    Fax: 740-566-4625
Edward Scott Umlauf, D.O.
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 55 Hospital Dr, Athens, OH 45701
Phone: 740-593-5551    

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).

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