Margaret A. Baumgarten, M.D.
NPI 1023096559ActiveIndividual· Family Medicine· Portsmouth, VA
Family Medicine (M.D.) with Evms Academic Physicians and Surgeons Health Services Foundation, practicing in Portsmouth, Virginia. Their prescriptions cost Medicare Part D more than their services did: $36,145 for 328 claims, against $9,500 paid for services in 2024. Lists Bon Secours Harbour View Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1023096559 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 5, 2006 |
| Last updated in NPPES | Mar 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101231807 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 163 across 18 procedure codes |
| Paid by Medicare | $9,500 |
Part D prescriptions in 2024
| Prescriptions (claims) | 328 · 728 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $36,145 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Evms Academic Physicians and Surgeons Health Services FoundationNorfolk, VA · 232 clinicians
Hospital affiliations
- Bon Secours Harbour View Medical CenterSuffolk, VA
- Bon Secours Maryview Medical CenterPortsmouth, VA
- Sentara Norfolk General HospitalNorfolk, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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