Thomas Baumgarten, M D - Medicare Orthopedic Surgery in Greenville, SC

Thomas Baumgarten, M D is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Greenville, South Carolina. He went to University Of Louisville School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 11 Park Creek Dr, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 234-7654.

Thomas Baumgarten is licensed to practice in South Carolina (license number 15058) 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 1962469684.

Contact Information

Thomas Baumgarten, M D
11 Park Creek Dr,
Greenville, SC 29605-4270
(864) 234-7654
Not Available

Map and Direction




Physician's Profile

Full NameThomas Baumgarten
GenderMale
SpecialityOrthopedic Surgery
Experience35 Years
Location11 Park Creek Dr, Greenville, South Carolina
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:
  • Thomas Baumgarten attended and graduated from University Of Louisville School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1962469684
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 04/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264436054
  • Enrollment ID: I20060911000143

Medical Identifiers

Medical identifiers for Thomas Baumgarten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962469684NPI-NPPES
1295769438OtherSCGROUP NPI
150589MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 15058 (South Carolina)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 15058 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Patewood HospitalGreenville, SCHospital
Prisma Health Greenville Memorial HospitalGreenville, SCHospital
St Francis-downtownGreenville, SCHospital
Prisma Health Greer Memorial HospitalGreer, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832201

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. Thomas Baumgarten allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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. Thomas Baumgarten 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
Thomas Baumgarten, M D
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8614
Thomas Baumgarten, M D
11 Park Creek Dr,
Greenville, SC 29605-4270

Ph: (864) 234-7654

Reviews and Comments


Orthopaedic Surgery Doctors in Greenville, SC

James Frederick Silliman, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 200 Patewood Drive, Suite C100, Greenville, SC 29615
Phone: 864-454-7422    Fax: 864-454-8265
Dr. Franklin Keith Gettys, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 950 W Faris Rd, Greenville, SC 29605
Phone: 864-240-3103    Fax: 864-240-2146
Robert Michael Wood, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 111 Doctors Dr, Greenville, SC 29605
Phone: 864-797-7150    Fax: 864-797-7155
Dr. James Michael Miller, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-6221    Fax: 864-455-7082
Christel Molnar,
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-6221    
Dr. William Parshall Huntington, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 200 Patewood Dr Ste C100, Greenville, SC 29615
Phone: 864-454-7422    Fax: 864-454-8265
Dr. Thomas B Pace, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 200 Patewood Dr, Building 200 C Suite 275, Greenville, SC 29615
Phone: 864-454-7484    Fax: 864-454-7497

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.