Dr. Nicole Baumgartner-Fernandez, DO

  • Reading, PA
  • Internist
NPI1003266396PAC ID4880921287
Medicare services, 2024
596
Medicare patients, 2024
280
Part D claims, 2024
209
MIPS score, 2024
79
Hospital affiliations
2
Practice address
2500 Bernville Road, Reading, PA 19605
Practice phone
Call (610) 378-2000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Penn State Health St. Joseph Medical Center

Hospital · Reading, Pennsylvania

See all 4 affiliations

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Dr. Nicole Baumgartner-Fernandez is an internist in Reading, Pennsylvania

Dr. Baumgartner-Fernandez practices at Penn State Health St. Joseph Medical Center in Reading, Pennsylvania, part of Penn State.

Dr. Baumgartner-Fernandez's NPI, 1003266396, was assigned on June 16, 2016. Dr. Baumgartner-Fernandez holds Pennsylvania license OS022984.

NPI and contact details
Medicare PAC ID
4880921287
NPI enumeration date
June 16, 2016
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(610) 378-2000
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female
Estimated age
36
Medical school graduation
2016

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Nicole Baumgartner-Fernandez practices at Penn State Health St. Joseph Medical Center in Reading, Pennsylvania

Dr. Baumgartner-Fernandez's primary practice is Penn State Health St. Joseph Medical Center, at 2500 Bernville Road, Reading, PA 19605 in Berks County. The practice phone is (610) 378-2000.

Source: Dmand AI Affiliation Data

Dr. Nicole Baumgartner-Fernandez is affiliated with 2 sites of care and 2 medical groups

Dr. Baumgartner-Fernandez's primary practice is Penn State Health St. Joseph Medical Center in Reading, Pennsylvania, part of Penn State. Dr. Baumgartner-Fernandez is also affiliated with Penn State Health Milton S. Hershey Medical Center. The medical group on file is Penn State Health St. Joseph Medical Group. Dmand AI also links Dr. Baumgartner-Fernandez to 1 more medical group, named with a free account.

See all 4 affiliations for Dr. Baumgartner-Fernandez

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Nicole Baumgartner-Fernandez's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Baumgartner-Fernandez practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Penn State Health St. Joseph Medical CenterAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nicole Baumgartner-Fernandez is one of 5,665 internists in Pennsylvania

Internal medicine is Dr. Baumgartner-Fernandez's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dmand AI has Dr. Baumgartner-Fernandez's licenses on file in 3 states: Pennsylvania, Florida and Washington.

Specialties and state licenses

  • Internal medicine, PennsylvaniaPrimaryLicense OS022984 · taxonomy 207R00000X
  • Florida licenseLicense U04866
  • Washington licenseLicense OP61241760

Internists near Dr. Baumgartner-Fernandez

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Nicole Baumgartner-Fernandez billed Medicare for 596 services in 2024

CMS data shows 596 Medicare services from Dr. Baumgartner-Fernandez across 3 procedure codes in 2024, for 280 Medicare patients. Medicare paid $42,256 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024596
Medicare patients280
Paid by Medicare$42,256
Procedure codes3

Dr. Baumgartner-Fernandez's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4702024: 59627%

Dr. Baumgartner-Fernandez compared with the Pennsylvania median for internists, 2024

  • Dr. Baumgartner-Fernandez
  • Pennsylvania median
Medicare services
596vs 41743% above
Medicare patients
280vs 18551% above
Part D claims
30vs 22487% below

Medians across 5,518 internists in Pennsylvania with Dmand AI profiles that report each measure.

Dr. Baumgartner-Fernandez's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Baumgartner-Fernandez

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Nicole Baumgartner-Fernandez treated 280 Medicare patients in 2024, average age 77

CMS counts 280 Medicare patients who saw Dr. Baumgartner-Fernandez in 2024. The largest group is 75 to 84, with 112 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 18% are also on Medicaid. Their average risk score is 2.33, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Baumgartner-Fernandez's median patient age at 71, with 49% women.

Medicare patients, 2024280
Average age77
Average risk score2.33
Also on Medicaid18%

Dr. Baumgartner-Fernandez's Medicare patients by age, 2024

Dr. Baumgartner-Fernandez's Medicare patients by sex, 2024

  • Women15054%
  • Men13046%

Chronic conditions among Dr. Baumgartner-Fernandez's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis56%
  4. Heart failure55%
  5. Ischemic heart disease55%
  6. Chronic kidney disease54%
  7. Diabetes48%
  8. Atrial fibrillation46%

Share of Medicare patients with each condition. A patient can have several.

Dr. Baumgartner-Fernandez's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 71

Patient panel by sex, all payers

  • Women49%
  • Men50%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Nicole Baumgartner-Fernandez wrote 209 Medicare Part D claims in 2024

In 2024, Dr. Baumgartner-Fernandez wrote 209 Medicare Part D claims for 97 patients. 84% of them were for generic drugs. CMS names the drug for 30 of them, across 2 drugs with 11 or more claims each, at $9,150 in total drug cost. In 2023, CMS named 28 claims across 2 drugs.

Part D claims, 2024209
Drugs named by CMS2
Total drug cost$9,150
Part D patients97

Dr. Baumgartner-Fernandez's Part D claims by kind of drug, 2024

  • Generic175 claims84%
  • Brand-name34 claims16%

Dr. Baumgartner-Fernandez's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Baumgartner-Fernandez's Part D claims, 2024

  • Antibiotics27%57 of 209 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 282024: 307%

Drugs named by CMS: 2 in 2024, 2 in 2023.

See all prescribing by Dr. Baumgartner-Fernandez

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Nicole Baumgartner-Fernandez scored 79 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 79 out of 100 for Dr. Baumgartner-Fernandez for performance year 2024, reported as part of a group. Dr. Baumgartner-Fernandez accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Baumgartner-Fernandez's MIPS scores, performance year 2024

  • 79of 100Final score
  • 55of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 77of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Nicole Baumgartner-Fernandez received $587 in industry payments from 2016 to 2025

CMS Open Payments shows 9 general payments to Dr. Baumgartner-Fernandez from 8 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Merck Sharp & Dohme Corporation paid the most, $125.

General payments to Dr. Baumgartner-Fernandez by program year, 2016 to 2025

Companies that paid Dr. Baumgartner-Fernandez the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Baumgartner-Fernandez

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dr. Nicole Baumgartner-Fernandez's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Nicole Baumgartner-Fernandez

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Nicole Baumgartner-Fernandez's NPI number?

Dr. Nicole Baumgartner-Fernandez's NPI number is 1003266396. It was assigned on June 16, 2016, and it is active in the NPI Registry.

What kind of doctor is Dr. Nicole Baumgartner-Fernandez?

Dr. Nicole Baumgartner-Fernandez is an internist in Reading, Pennsylvania. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Nicole Baumgartner-Fernandez practice?

Dr. Baumgartner-Fernandez practices at 2500 Bernville Road, Reading, PA 19605. Dr. Baumgartner-Fernandez's primary practice is Penn State Health St. Joseph Medical Center in Reading, Pennsylvania, part of Penn State. Dmand AI also links Dr. Baumgartner-Fernandez to 1 medical group.

What is Dr. Nicole Baumgartner-Fernandez's office phone number?

The practice phone on file for Dr. Baumgartner-Fernandez is (610) 378-2000.

What is Dr. Nicole Baumgartner-Fernandez's medical license number?

Dr. Baumgartner-Fernandez holds Pennsylvania license OS022984, one of the licenses on file in 3 states.

Which states has Dr. Nicole Baumgartner-Fernandez been licensed in?

Dmand AI has state licenses on file for Dr. Baumgartner-Fernandez in Pennsylvania, Florida and Washington.

Which hospitals is Dr. Nicole Baumgartner-Fernandez affiliated with?

Dr. Baumgartner-Fernandez practices at Penn State Health St. Joseph Medical Center in Reading, Pennsylvania. Dr. Baumgartner-Fernandez is also affiliated with Penn State Health Milton S. Hershey Medical Center.

What medical group is Dr. Nicole Baumgartner-Fernandez part of?

Dr. Baumgartner-Fernandez is linked to Penn State Health St. Joseph Medical Group. Dmand AI links Dr. Baumgartner-Fernandez to 1 more medical group.

Does Dr. Nicole Baumgartner-Fernandez accept Medicare?

Yes. CMS data shows Dr. Baumgartner-Fernandez billed Medicare for 596 services in 2024, and Dr. Baumgartner-Fernandez accepts Medicare assignment.

What is Dr. Nicole Baumgartner-Fernandez's MIPS score?

Dr. Baumgartner-Fernandez's MIPS final score for performance year 2024 is 79 out of 100, reported as part of a group.

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How many Medicare patients does Dr. Nicole Baumgartner-Fernandez see?

CMS counts 280 Medicare patients who saw Dr. Baumgartner-Fernandez in 2024, with an average age of 77.

What services does Dr. Nicole Baumgartner-Fernandez bill to Medicare?

In 2024, Dr. Baumgartner-Fernandez's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99239) and hospital inpatient care (99233).

What drugs does Dr. Nicole Baumgartner-Fernandez prescribe most?

In 2024 Medicare Part D data, Dr. Baumgartner-Fernandez's most prescribed drugs by claims were Eliquis and Cefdinir.

Has Dr. Nicole Baumgartner-Fernandez received payments from drug or device companies?

CMS Open Payments shows $587 in general payments to Dr. Baumgartner-Fernandez from 8 companies from 2016 to 2025. The largest total came from Merck Sharp & Dohme Corporation.

How long has Dr. Nicole Baumgartner-Fernandez been practicing?

Dr. Baumgartner-Fernandez graduated from medical school in 2016, 10 years ago.

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