DR. MARGARET A BAUMGARTEN (M.D.) – Family Medicine Physician, NPI 1023096559
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. MARGARET A BAUMGARTEN (M.D.)
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NORFOLK, VA 235010936
Phone: (757) 397-6344
Fax: (757) 606-1185
Type: Mailing
3, High Street, Portsmouth, Rockingham County, New Hampshire, 03801, United States
PORTSMOUTH, VA 237073213
Phone: (757) 397-6344
Fax: (757) 606-1185
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060203000450 | I | Family Practice | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 40 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 12 | 12 | $0 |
Insurance plans in this area (ZIP 23501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 83036 | Hemoglobin A1C level | 46 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | TX | |
| Internal Medicine | VA | |
| General Surgery, Critical Care (Intensivists) | VA | |
| - | VA | |
| - | WA | |
| Internal Medicine | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | VA |
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