James Baumgardner
Anesthesiology • Pittsburgh, PA
5250 Liberty Ave, Apt 642
Pittsburgh, PA 152242372
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on December 22, 2015; this date does not establish years in practice.
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Published CMS data list 37 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 36620 — Insertion of artery tube for blood sampling or infusion through skin: 23 service units.
- 00210 — Anesthesia for other procedure on brain: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 75% of clinicians listed under Anesthesiology in Pittsburgh, PA (2024, 215 clinicians with data). Median for this group: 91. Middle half: 41 to 165.
Fewer Medicare Part B services than 80% of clinicians listed under Anesthesiology in Pennsylvania (2024, 1,489 clinicians with data). Median for this group: 129. Middle half: 59 to 241.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 70 in 2020 to 37 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
5250 Liberty Ave
Apt 642
Pittsburgh, PA 152242372
What Public CMS Data Show
Anesthesiology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
64 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $7,090 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $5,649 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Baumgardner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Baumgardner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Pittsburgh and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Anesthesiology in Pittsburgh, PA (2024, 215 clinicians with data). Median for this group: 91. Middle half: 41 to 165.
Fewer Medicare Part B services than 80% of clinicians listed under Anesthesiology in Pennsylvania (2024, 1,489 clinicians with data). Median for this group: 129. Middle half: 59 to 241.
Medicare-allowed amount
Close to the middle for clinicians listed under Anesthesiology in Pittsburgh, PA (2024, 215 clinicians with data). Median for this group: $8,752. Middle half: $3,431 to $16,311.
A lower Medicare-allowed amount than 70% of clinicians listed under Anesthesiology in Pennsylvania (2024, 1,489 clinicians with data). Median for this group: $12,659. Middle half: $5,801 to $25,014.
Paid by Medicare
Close to the middle for clinicians listed under Anesthesiology in Pittsburgh, PA (2024, 215 clinicians with data). Median for this group: $6,883. Middle half: $2,643 to $12,657.
A lower Medicare payment amount than 70% of clinicians listed under Anesthesiology in Pennsylvania (2024, 1,489 clinicians with data). Median for this group: $10,093. Middle half: $4,579 to $19,732.
354 active clinicians are listed under Anesthesiology with a practice address in Pittsburgh, PA (2,482 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pittsburgh
1.1% of these 354 clinicians have the CMS telehealth indicator.
71.8% of these 354 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 47% from 70 in 2020 to 37 in 2024.
- 2020: 70
- 2021: 80
- 2022: 64
- 2023: 42
- 2024: 37
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Medicare-allowed amount
Medicare-allowed amount decreased 65% from $20,007 in 2020 to $7,090 in 2024.
- 2020: $20,007
- 2021: $21,535
- 2022: $15,664
- 2023: $7,418
- 2024: $7,090
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Paid by Medicare
Paid by Medicare decreased 64% from $15,885 in 2020 to $5,649 in 2024.
- 2020: $15,885
- 2021: $17,120
- 2022: $12,375
- 2023: $5,925
- 2024: $5,649
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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36620
Insertion of artery tube for blood sampling or infusion through skin
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23 | 23 | $243.00 | $41.69 |
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00210
Anesthesia for other procedure on brain
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14 | 14 | $3422.71 | $437.91 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207L00000X
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ANESTHESIOLOGY
I20160411001511
PA
9537467493
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5250 LIBERTY AVE, APT 642, PITTSBURGH, PA 152242372 (Tel: 6103224538)
Registered at 5250 LIBERTY AVE, APT 642, PITTSBURGH, PA 152242372
Recorded as JAMES BAUMGARDNER
NPI status registered as active in NPPES database
Registered at 5250 LIBERTY AVE, APT 642, PITTSBURGH, PA 152242307 (Tel: 6103224538)
Registered at 5250 LIBERTY AVE, APT 642, PITTSBURGH, PA 152242307 (Tel: 6103224538)
Recorded as JAMES BAUMGARDNER, M.D.
Anesthesiology (license number reported to NPPES: PA MD036619E)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Anesthesiology Specialists in Pittsburgh
- Dr. Frank Kunkel, MD
- Dr. Juan Martinez, MD
- Dr. Michael Sypert, DO
- Ryan Romeo
- Mallory Bugel
- Dr. Jeffrey Uselman, DO
Mailing Address
5250 Liberty Ave, Apt 642
Pittsburgh, PA 152242372