DR. MARVIN BAULA M.D.
NPI 1104156819
Psychiatry & Neurology - Psychiatry in Middletown, OH

Active since December 30, 2009PECOS EnrolledAccepts Medicare Assignment
4464 S DIXIE HWY, MIDDLETOWN, OH 45005(513) 649-8008 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2019, Sep 13, 2018, Feb 8, 2017 (3 updates tracked since 2017).

About Dr. Marvin Baula M.d. NPPES

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

DR. MARVIN BAULA M.D. (NPI 1104156819) is an individual psychiatry provider in Middletown, Ohio, licensed in Ohio (35.099925) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1104156819
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARVIN BAULACredential: M.D.
Location Address4464 S DIXIE HWYMiddletown, OH 45005-5464
Mailing Address1101 Summit RdCincinnati, OH 45237-2621 · (513) 948-3721 · Fax (513) 948-8631
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 30, 2009
Last NPPES UpdateOctober 15, 20193 updates tracked since enumeration
NPI 1104156819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in OH · 35.099925
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4464 S DIXIE HWY, Middletown, OH 45005

Other Identifiers 4

Other0074946OH · Medicaid-odmh
Other0074861OH · Medicaid-odadas
OtherH130910OH · Medicare Group Ptan
Other01-0693OH · Carf Certification

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

Dr. Marvin Baula M.d. 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 ID1052557352
PECOS Enrollment IDI20130410000640
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
341 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Professional)
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Case Manager/Care Coordinator
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Social Worker
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Social Worker
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Counselor (Mental Health)
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Registered Nurse
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Counselor
4464 S DIXIE HWY
MIDDLETOWN, OH 45005
Counselor (Professional)
4464 S DIXIE HWY
MIDDLETOWN, OH 45005

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 Marvin Baula's NPI number?

The NPI number for Marvin Baula is 1104156819. It was assigned to this individual provider in the NPPES registry on December 30, 2009.

Where is Marvin Baula located?

Marvin Baula practices at 4464 S Dixie Hwy, Middletown, OH 45005. The listed phone number is (513) 649-8008.

What is Marvin Baula's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marvin Baula enrolled in Medicare?

Yes. Marvin Baula 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 Marvin Baula accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Marvin Baula 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.

When was this NPI record last updated?

The NPPES record for Marvin Baula was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.