Keith M Baumgarten, MD - Medicare Orthopedic Surgery in Sioux Falls, SD

Keith M Baumgarten, MD is a medicare enrolled "Orthopaedic Surgery" physician in Sioux Falls, South Dakota. He went to Johns Hopkins University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopedic Institute Pc and his current practice location is 810 E 23rd St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 331-5890.

Keith M Baumgarten is licensed to practice in South Dakota (license number 5643) 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 1467474452.

Contact Information

Keith M Baumgarten, MD
810 E 23rd St,
Sioux Falls, SD 57105-2135
(605) 331-5890
(605) 336-3974

Map and Direction




Physician's Profile

Full NameKeith M Baumgarten
GenderMale
SpecialityOrthopedic Surgery
Experience25 Years
Location810 E 23rd St, Sioux Falls, South Dakota
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:
  • Keith M Baumgarten attended and graduated from Johns Hopkins University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1467474452
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 01/23/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6507894128
  • Enrollment ID: I20050808001083

Medical Identifiers

Medical identifiers for Keith M Baumgarten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467474452NPI-NPPES
6402330MedicaidSD
P00380163OtherSDRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 5643 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sioux Falls Specialty HospitalSioux falls, SDHospital
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital
Madison Regional Health SystemMadison, SDHospital
Avera Sacred Heart HospitalYankton, SDHospital
Huron Regional Medical CenterHuron, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic Institute Pc125422389456

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. Keith M Baumgarten allows following entities to bill medicare on his behalf.
Entity NameOrthopedic Institute Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263326
PECOS PAC ID: 1254223894
Enrollment ID: O20040415000564

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. Keith M 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
Keith M Baumgarten, MD
Po Box 5116,
Sioux Falls, SD 57117-5116

Ph: (605) 331-5890
Keith M Baumgarten, MD
810 E 23rd St,
Sioux Falls, SD 57105-2135

Ph: (605) 331-5890

Reviews and Comments


Orthopaedic Surgery Doctors in Sioux Falls, SD

Mr. Brandon M Harris, CNP
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105
Phone: 605-322-8000    
Walter O Carlson, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 810 E 23rd St, Sioux Falls, SD 57105
Phone: 605-331-5890    Fax: 605-336-3974
Franklin G Alvine, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2908 E 26th St, Sioux Falls, SD 57103
Phone: 605-336-2638    Fax: 605-334-3500
Hillary A Becker, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1210 W 18th St Ste G01, Sioux Falls, SD 57104
Phone: 605-328-2663    Fax: 605-328-3760
Dr. Thomas H Flesher Iii, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1210 W 18th St Ste G01, Sioux Falls, SD 57104
Phone: 605-328-3944    
Robert Eugene Van Demark Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1210 W 18th St Ste G01, Sioux Falls, SD 57104
Phone: 605-328-2663    
Patrick B Horrigan, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1210 W 18th St Ste G01, Sioux Falls, SD 57104
Phone: 605-328-2663    

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).

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