Dr. Keith M. Baumgarten, MD

  • Sioux Falls, SD
  • Orthopedic surgeon
NPI1467474452PAC ID6507894128
Medicare services, 2024
4,703
Medicare patients, 2024
662
Part D claims, 2024
181
Publications
105
Clinical trials
4
Practice address
810 E 23rd St, Sioux Falls, SD 57105
Practice phone
Call (605) 331-5890
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Orthopedic Institute

Sioux Falls, South Dakota

See all 8 affiliations

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Dr. Keith M. Baumgarten is an orthopedic surgeon in Sioux Falls, South Dakota

Dr. Baumgarten practices at Orthopedic Institute in Sioux Falls, South Dakota.

Dr. Baumgarten's NPI, 1467474452, was assigned on July 25, 2006. Dr. Baumgarten graduated from The Johns Hopkins University School of Medicine in 1999. Dr. Baumgarten holds South Dakota license 5643.

NPI and contact details
Medicare PAC ID
6507894128
NPI enumeration date
July 25, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(605) 331-5890
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
53
Medical school graduation
1999

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

Dr. Keith M. Baumgarten practices at Orthopedic Institute in Sioux Falls, South Dakota

Dr. Baumgarten's primary practice is Orthopedic Institute, at 810 E 23rd St, Sioux Falls, SD 57105 in Minnehaha County. The practice phone is (605) 331-5890.

  • Orthopedic Institute
    810 E 23rd St, Sioux Falls, SD 57105 · Minnehaha CountyPhone(605) 331-5890

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Keith M. Baumgarten is affiliated with 7 sites of care and 1 medical group

Dr. Baumgarten's primary practice is Orthopedic Institute in Sioux Falls, South Dakota. Dr. Baumgarten is also affiliated with Avera McKennan Hospital & University Health Center. The medical group on file is Orthopedic Institute. Dmand AI also links Dr. Baumgarten to 4 more hospitals and 1 group practice or clinic, each named with a free account.

See all 8 affiliations for Dr. Baumgarten

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Keith M. Baumgarten's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Baumgarten practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Orthopedic InstituteAvailable with a free account
+6 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Keith M. Baumgarten is one of 113 orthopedic surgeons in South Dakota

Orthopaedic surgery is Dr. Baumgarten's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Baumgarten is board certified in orthopaedic sports medicine by the American Board of Orthopaedic Surgery. Dmand AI has Dr. Baumgarten's licenses on file in 2 states: South Dakota and Minnesota.

Specialties and state licenses

  • Orthopaedic surgery, South DakotaPrimaryLicense 5643 · taxonomy 207X00000X
  • Minnesota license2006 to 2026

Clinical focus

Dmand AI lists arm, wrist, hand fracture and dislocation, arthritis, bursitis, enthesopathy in arms, hand joint or tendon inflammation, joint pain, knee arthroscopy and knee replacement among the conditions Dr. Baumgarten treats.

Orthopedic surgeons near Dr. Baumgarten

Counts of orthopedic surgeons 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. Keith M. Baumgarten billed Medicare for 4,703 services in 2024

CMS data shows 4,703 Medicare services from Dr. Baumgarten across 21 procedure codes in 2024, for 662 Medicare patients. Medicare paid $187,048 for them.

Medicare services, 20244,703
Medicare patients662
Paid by Medicare$187,048
Procedure codes21

Dr. Baumgarten's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 2,4462024: 2,82816%
Imaging
2023: 8912024: 8416%
Office and hospital visits
2023: 6262024: 5837%
Surgery
2023: 5142024: 45112%

Where Dr. Baumgarten's Medicare services took place, 2024

  • In an office4,56297%
  • In a facility1413%

Dr. Baumgarten compared with the South Dakota median for orthopedic surgeons, 2024

  • Dr. Baumgarten
  • South Dakota median
Medicare services
4,703vs 5828.1 times
Medicare patients
662vs 2422.7 times
Part D claims
153vs 7994% above

Medians across 116 orthopedic surgeons in South Dakota with Dmand AI profiles that report each measure.

Dr. Baumgarten'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. Baumgarten

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

Dr. Keith M. Baumgarten treated 662 Medicare patients in 2024, average age 73

CMS counts 662 Medicare patients who saw Dr. Baumgarten in 2024. The largest group is 65 to 74, with 408 patients. 72% of them have arthritis, and 71% have high cholesterol. 3% are also on Medicaid. Their average risk score is 0.88, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Baumgarten's median patient age at 68, with 47% women.

Medicare patients, 2024662
Average age73
Average risk score0.88
Also on Medicaid3%

Dr. Baumgarten's Medicare patients by age, 2024

Dr. Baumgarten's Medicare patients by sex, 2024

  • Women33150%
  • Men33150%

Chronic conditions among Dr. Baumgarten's Medicare patients, 2024

  1. Arthritis72%
  2. High cholesterol71%
  3. High blood pressure69%
  4. Ischemic heart disease24%
  5. Diabetes21%
  6. Anxiety18%
  7. Mood disorders18%
  8. Depression17%

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

Dr. Baumgarten's patients across all payers

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

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women47%
  • Men53%

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

Dr. Keith M. Baumgarten wrote 181 Medicare Part D claims in 2024

In 2024, Dr. Baumgarten wrote 181 Medicare Part D claims for 93 patients. 99% of them were for generic drugs. CMS names the drug for 153 of them, across 2 drugs with 11 or more claims each, at $134 in total drug cost. In 2023, CMS named 142 claims across 3 drugs.

Part D claims, 2024181
Drugs named by CMS2
Total drug cost$134
Part D patients93

Dr. Baumgarten's Part D claims by kind of drug, 2024

  • Generic180 claims99%
  • Brand-name and other1 claims1%

Dr. Baumgarten'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. Baumgarten's Part D claims, 2024

  • Antibiotics88%159 of 181 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: 1422024: 1538%

Drugs named by CMS: 2 in 2024, 3 in 2023.

See all prescribing by Dr. Baumgarten

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. Keith M. Baumgarten ranks in the 93rd percentile for upper limb (arm) arthroscopy (minimally invasive joint repair) in Medicare

Dr. Baumgarten accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 77 procedures of upper limb (arm) arthroscopy (minimally invasive joint repair) by Dr. Baumgarten, more than 93% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Baumgarten ranks in Medicare procedure volume

Upper limb (arm) arthroscopy (minimally invasive joint repair)
93rd percentile77 procedures
Knee replacement
69th percentile35 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Keith M. Baumgarten has 105 publications on record

Dmand AI links 105 papers to Dr. Baumgarten, published from 2007 to 2024. 2018 was the busiest year, with 9. The most frequent topics are Shoulder Joint, Rotator Cuff Injuries and Arthroscopy. Dr. Baumgarten has published most often in J Shoulder Elbow Surg. Dr. Baumgarten's most frequent co-authors are Eric C. McCarty, MD, Brian R. Wolf, MD and Warren R. Dunn, MD.

Papers105
Years published2007 to 2024

Dr. Baumgarten's papers by year, 2015 to 2024

Topics Dr. Baumgarten writes about most

  • Shoulder Joint
  • Rotator Cuff Injuries
  • Arthroscopy
  • Range of Motion, Articular
  • Joint Instability
  • Shoulder Pain
  • Patient Reported Outcome Measures
  • Reoperation

Dr. Baumgarten's most frequent co-authors

Recent publications by Dr. Baumgarten

See all 105 publications and co-authors

See who Dr. Baumgarten researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Baumgarten works with, so you can find a warm path to the right orthopedic surgeons.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Keith M. Baumgarten has worked on 4 clinical trials

Dmand AI links Dr. Baumgarten to 4 clinical trials. 2 are still active or recruiting. Conditions studied include Rotator Cuff Injuries, Rupture and Joint Dislocations. University of Michigan sponsors the most, 2.

Conditions in Dr. Baumgarten's trials

  • Rotator Cuff Injuries
  • Rupture
  • Joint Dislocations
  • Joint Diseases

Investigators on the most trials with Dr. Baumgarten

Recent clinical trials with Dr. Baumgarten

Sources: Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)

Dr. Keith M. Baumgarten received $330,630 in industry payments from 2016 to 2025

CMS Open Payments shows 281 general payments to Dr. Baumgarten from 10 drug and device companies from 2016 to 2025. Consulting fees make up the largest share, 82% of the total. Wright Medical Technology, Inc. paid the most, $112,181. It also lists 11 research payments totaling $12,145 from 2018 to 2024.

General payments to Dr. Baumgarten by program year, 2016 to 2025

General payments to Dr. Baumgarten by kind, 2016 to 2025

$330.6Kin total
  • Consulting fees$270,82882%
  • Travel and lodging$25,7708%
  • Speaker and faculty fees$24,3757%
  • Food and beverage$7,1072%
  • Education$2,5501%

Companies that paid Dr. Baumgarten the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Baumgarten

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

Dr. Keith M. Baumgarten has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Baumgarten, most recently Charles S. Neer Award in 2013.

Awards and honors for Dr. Baumgarten

  1. 2013
    • Charles S. Neer Award
  2. 2012
    • CMS Stage 1 2012

Source: Dmand AI Professional Profile Data

Dr. Keith M. Baumgarten graduated from The Johns Hopkins University School of Medicine

Dr. Baumgarten graduated from The Johns Hopkins University School of Medicine in 1999.

  1. Medical schoolThe Johns Hopkins University School of Medicine
  2. Board certified in orthopaedic sports medicineAmerican Board of Orthopaedic Surgery
  3. Board certified in orthopaedic surgeryAmerican Board of Orthopaedic Surgery

Source: Dmand AI Professional Profile Data

Dr. Keith M. Baumgarten accepts plans from 18 insurance carriers

Dr. Baumgarten is in network with 18 carriers, including Aetna, Blue Cross Blue Shield of Michigan and HCSC. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

Plan types Dr. Baumgarten accepts, by number of carriers

  1. PPO11
  2. HMO10
  3. Medicare8
  4. POS6
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Keith M. Baumgarten'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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand 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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Clinical trials and co-investigatorsDmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
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. Keith M. Baumgarten

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. Keith M. Baumgarten's NPI number?

Dr. Keith M. Baumgarten's NPI number is 1467474452. It was assigned on July 25, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Keith M. Baumgarten?

Dr. Keith M. Baumgarten is an orthopedic surgeon in Sioux Falls, South Dakota. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Keith M. Baumgarten practice?

Dr. Baumgarten practices at 810 E 23rd St, Sioux Falls, SD 57105. Dr. Baumgarten's primary practice is Orthopedic Institute in Sioux Falls, South Dakota. Dmand AI also links Dr. Baumgarten to 4 hospitals and 1 group practice or clinic.

What is Dr. Keith M. Baumgarten's office phone number?

The practice phone on file for Dr. Baumgarten is (605) 331-5890.

What is Dr. Keith M. Baumgarten's medical license number?

Dr. Baumgarten holds South Dakota license 5643, one of the licenses on file in 2 states.

Which states has Dr. Keith M. Baumgarten been licensed in?

Dmand AI has state licenses on file for Dr. Baumgarten in South Dakota and Minnesota (2006 to 2026).

Which hospitals is Dr. Keith M. Baumgarten affiliated with?

Dr. Baumgarten is affiliated with Avera McKennan Hospital & University Health Center. Dmand AI links Dr. Baumgarten to 4 more hospitals.

What medical group is Dr. Keith M. Baumgarten part of?

Dr. Baumgarten is linked to Orthopedic Institute.

Does Dr. Keith M. Baumgarten accept Medicare?

Yes. CMS data shows Dr. Baumgarten billed Medicare for 4,703 services in 2024, and Dr. Baumgarten accepts Medicare assignment.

How many Medicare patients does Dr. Keith M. Baumgarten see?

CMS counts 662 Medicare patients who saw Dr. Baumgarten in 2024, with an average age of 73.

Show 9 more questionsShow fewer questions

Is Dr. Keith M. Baumgarten board certified?

Yes. Dr. Baumgarten is board certified in orthopaedic sports medicine by the American Board of Orthopaedic Surgery.

What services does Dr. Keith M. Baumgarten bill to Medicare?

In 2024, Dr. Baumgarten's most billed Medicare services were injected or infused drug (J3301), diagnostic imaging (73030) and surgery: bones and joints (20610).

Where did Dr. Keith M. Baumgarten go to medical school?

Dr. Baumgarten graduated from The Johns Hopkins University School of Medicine in 1999.

What drugs does Dr. Keith M. Baumgarten prescribe most?

In 2024 Medicare Part D data, Dr. Baumgarten's most prescribed drugs by claims were Amoxicillin and Clindamycin HCl.

Has Dr. Keith M. Baumgarten received payments from drug or device companies?

CMS Open Payments shows $330,630 in general payments to Dr. Baumgarten from 10 companies from 2016 to 2025. The largest total came from Wright Medical Technology, Inc.

How long has Dr. Keith M. Baumgarten been practicing?

Dr. Baumgarten graduated from medical school in 1999, 27 years ago.

Does Dr. Keith M. Baumgarten do research?

Dmand AI links 105 publications to Dr. Baumgarten, published from 2007 to 2024. Dr. Baumgarten has worked on 4 clinical trials.

Who does Dr. Keith M. Baumgarten publish with?

Dr. Baumgarten's most frequent co-authors are Eric C. McCarty, MD (33 shared papers), Brian R. Wolf, MD (22 shared papers) and Warren R. Dunn, MD (21 shared papers).

What insurance does Dr. Keith M. Baumgarten accept?

Dr. Baumgarten is in network with 18 carriers, including Aetna, Blue Cross Blue Shield of Michigan and HCSC. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

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