BAIGALMAA ENKHTAIVAN
NPI 1043637176
Internal Medicine in Plymouth, MA

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
275 SANDWICH ST, PLYMOUTH, MA 02360(508) 830-2679(508) 830-2702 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2023, Sep 16, 2022 (2 updates tracked since 2022).

About Baigalmaa Enkhtaivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAIGALMAA ENKHTAIVAN (NPI 1043637176) is an individual internal medicine provider in Plymouth, Massachusetts, licensed in Maryland (292048) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1043637176
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBAIGALMAA ENKHTAIVAN
Location Address275 SANDWICH STPlymouth, MA 02360-2183
Mailing Address275 Sandwich StPlymouth, MA 02360-2183 · (508) 830-2679 · Fax (508) 830-2702
Fax(508) 830-2702
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 26, 2014
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
NPI 1043637176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · 292048 Licensed in AL · MD.36160
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 292048 (MA)
275 SANDWICH ST, Plymouth, MA 02360

Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-2183 · Phone (781) 744-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Baigalmaa Enkhtaivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527324029
PECOS Enrollment IDI20220829002735
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
298 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
243 services119 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services107 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%200 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
275 SANDWICH ST
PLYMOUTH, MA 02360
Advanced Practice Midwife
275 SANDWICH ST
PLYMOUTH, MA 02360
Nurse Anesthetist, Certified Registered
275 SANDWICH ST
PLYMOUTH, MA 02360
Internal Medicine (Hematology & Oncology)
275 SANDWICH ST, C/O CATHY GREY
PLYMOUTH, MA 02360
General Acute Care Hospital (Rural)
275 SANDWICH ST
PLYMOUTH, MA 02360
Psychiatric Unit
275 SANDWICH ST
PLYMOUTH, MA 02360
Nurse Practitioner (Family)
275 SANDWICH ST
PLYMOUTH, MA 02360
Physician Assistant
275 SANDWICH ST
PLYMOUTH, MA 02360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baigalmaa Enkhtaivan's NPI number?

The NPI number for Baigalmaa Enkhtaivan is 1043637176. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Baigalmaa Enkhtaivan located?

Baigalmaa Enkhtaivan practices at 275 Sandwich St, Plymouth, MA 02360. The listed phone number is (508) 830-2679.

What is Baigalmaa Enkhtaivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Baigalmaa Enkhtaivan enrolled in Medicare?

Yes. Baigalmaa Enkhtaivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Baigalmaa Enkhtaivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Baigalmaa Enkhtaivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Baigalmaa Enkhtaivan affiliated with any hospitals?

According to CMS data, Baigalmaa Enkhtaivan is affiliated with Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Baigalmaa Enkhtaivan was last updated on March 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.