BRIAN JAMES BAUMGARTNER (M.D.) – Otolaryngology Physician, NPI 1033181706
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,359 OTOLARYNGOLOGY in CA
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Provider Addresses for BRIAN JAMES BAUMGARTNER (M.D.)
PO BOX 45680
SAN FRANCISCO, CA 941450680
Phone: (530) 344-2000
Type: Mailing
112, East Clinton Avenue, Fresno, Fresno County, California, 93704, United States
FRESNO, CA 937032223
Phone: (559) 225-6100
Fax: (559) 228-5309
Type: Mailing
4300 GOLDEN CENTER DR STE D
PLACERVILLE, CA 956676278
Phone: (530) 344-2000
Fax: (530) 748-0333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $500.
Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($449).
Total Amount
$500
General + Research + Ownership
Payments
5
Total payment records
General Amount
$500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $449 |
| Smith+Nephew, Inc. | $31 |
| AERIN MEDICAL INC. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110829000411 | I | Otolaryngology | CA | TBD |
| I20241106002070 | I | Otolaryngology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94145)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | CA | 95806 | Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort | 14 | 14 |
| OTOLARYNGOLOGY | CA | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 124 | 117 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX |
Reviews
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