Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Nathan B Baumer , MD

General Practice • Houston, TX

Active NPI 1811908619 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

523 N Sam Houston Pkwy E, Suite 125
Houston, TX 770604036

Call 8052751834 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

523 N Sam Houston Pkwy E
Suite 125

Houston, TX 770604036

Telephone 8052751834
Organization at the Same NPPES Address or Phone
Louisiana Dysphagia Consultants, L.l.c. Facility NPI 1164734844

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Midwest Dysphagia Consultants Llc; Professional Imaging Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1977

Medicare patients

462 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $154,957 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.

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 $123,197 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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.

Guide: How to read an Open Payments record

Years since graduation

49 years (graduated 1977)

CMS Doctors and Clinicians data list 1977 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Baumer 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Baumer 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Houston and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under General Practice in Houston, TX (2024, 28 clinicians with data). Median for this group: 223. Middle half: 73 to 747.

More Medicare Part B services than 80% of clinicians listed under General Practice in Texas (2024, 172 clinicians with data). Median for this group: 341. Middle half: 100 to 1,551.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under General Practice in Houston, TX (2024, 28 clinicians with data). Median for this group: $20,660. Middle half: $9,422 to $74,378.

A higher Medicare-allowed amount than 80% of clinicians listed under General Practice in Texas (2024, 172 clinicians with data). Median for this group: $28,596. Middle half: $8,918 to $83,485.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under General Practice in Houston, TX (2024, 28 clinicians with data). Median for this group: $14,270. Middle half: $6,534 to $56,228.

A higher Medicare payment amount than 85% of clinicians listed under General Practice in Texas (2024, 172 clinicians with data). Median for this group: $19,146. Middle half: $6,451 to $65,134.

133 active clinicians are listed under General Practice with a practice address in Houston, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Houston

6.8% of these 133 clinicians have the CMS telehealth indicator.

30.1% of these 133 clinicians are listed by CMS as accepting Medicare assignment.

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

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

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
72040 X-ray of upper spine, 2-3 views
427 424 $74.61 $22.86
74230 Imaging for evaluation of swallowing function
427 424 $168.58 $67.53
74240 Single contrast x-ray of upper digestive tract
424 421 $183.58 $73.25
70100 X-ray of part of lower jaw, 1-4 views
371 371 $66.59 $21.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
318 318 $352.00 $156.63
71045 X-ray of chest, 1 view
181 179 $61.33 $14.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
109 108 $200.00 $120.20
92611 Evaluation of swallowing function image
60 60 $250.00 $84.91
72040 X-ray of upper spine, 2-3 views
33 33 $60.00 $10.28
74230 Imaging for evaluation of swallowing function
33 33 $115.00 $24.09
74240 Single contrast x-ray of upper digestive tract
33 33 $125.00 $36.31
70100 X-ray of part of lower jaw, 1-4 views
32 32 $45.00 $8.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
32 32 $300.00 $124.04
71045 X-ray of chest, 1 view
15 15 $30.00 $8.03

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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES TX K5803

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

License # reported to NPPES TX K5803

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
105800006 (TX)
Other Identifier Aetna/proima
0007737012 (TX)
Other Identifier Bcbstx/proima
8U3450 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - FAMILY PRACTICE

Medicare Enrollment ID

I20180213002126

Enrollment State Jurisdiction

KY

PECOS Control ID

0547256760

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Professional Imaging Pllc

1717 Rotary Dr, Humble, TX 773385235

Phone: 2812726277

Midwest Dysphagia Consultants Llc

5710 Wooster Pike, Cincinnati, OH 452274520

Phone: 5137130069

Midwest Dysphagia Consultants Llc

1717 Dixie Hwy, Ft Wright, KY 410112766

Phone: 5137130069

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active December 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 20, 2017

Registered at 1717 ROTARY DR, HUMBLE, TX 773385235 (Tel: 2812726277)

📍
Updated Practice Location December 20, 2017

Registered at 523 N SAM HOUSTON PKWY E, SUITE 125, HOUSTON, TX 770604036 (Tel: 8052751834)

👤
Provider Name / Credentials Updated December 20, 2017

Recorded as NATHAN BAUMER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2017

Radiology (license number reported to NPPES: TX K5803)

âś…
NPI Profile Active August 16, 2010

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 16, 2010

Registered at 523 N SAM HOUSTON PKWY E, SUITE 125, HOUSTON, TX 770604036 (Tel: 8052751834)

📍
Business Mailing Address (Initial Record) August 16, 2010

Registered at 910 HOUSTON ST, SUITE 701, FORT WORTH, TX 761026225 (Tel: 8172967282)

👤
Provider Name / Credentials (Initial Record) August 16, 2010

Recorded as NATHAN BAUMER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2010

Radiology (license number reported to NPPES: TX K5803)

🟢
Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811908619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: December 20, 2017
Sole Proprietor: No

Other General Practices in Houston

All General Practices in Houston

Mailing Address

1717 Rotary Dr

Humble, TX 773385235

Phone: 2812726277

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.