THOMAS BALDWIN MD
NPI 1104872746
Internal Medicine - Interventional Cardiology in Olathe, KS

Q: What is Thomas Baldwin's NPI number?

The NPI number for Thomas Baldwin is 1104872746. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Thomas Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Baldwin was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment

91.04/100

CMS Quality Rating

20805 W 151ST ST, BUILDING 2 SUITE 400, OLATHE, KS 66061(913) 780-4900(913) 780-0949 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Jul 10, 2018 (2 updates tracked since 2018).

On this page

About Thomas Baldwin Md NPPES

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

THOMAS BALDWIN MD (NPI 1104872746) is an individual interventional cardiology provider in Olathe, Kansas, licensed in Kansas (0420535) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104872746

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameTHOMAS BALDWINCredential: MD

Location Address20805 W 151ST ST, BUILDING 2 SUITE 400Olathe, KS 66061-7249

Mailing Address12200 W 106th St Ste 320Overland Park, KS 66215-2305 · (913) 894-9015 · Fax (913) 894-9398

Phone(913) 780-4900

Fax(913) 780-0949

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1983

Enumeration DateMay 25, 2006

Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration

✔ NPI 1104872746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in KS · 0420535

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 0420535 (KS)

20805 W 151ST ST, Olathe, KS 66061

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Secondary Practice Locations 2

Location 120805 W 151st St, Building 2 Suite 400Olathe, KS 66061-7249 · Phone (913) 780-4900 · Fax (913) 780-0949

Location 212200 W 106th St Ste 320Overland Park, KS 66215-2305 · Phone (913) 894-9015 · Fax (913) 894-9398

Other Identifiers 1

Medicaid100115030BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Baldwin Md 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 ID1456385822

PECOS Enrollment IDI20050924000277, I20180914002823

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Olathe Health Physicians, Inc.

Same address

Cardiovascular Disease

20805 W 151ST ST, SUITE 400
Olathe, KS 66061

Reassigned Medicare billing, Kansas enrollment
273 clinicians in this Medicare group

NPI 1437299062 (913) 780-4900

Midwest Heart & Vascular Specialists, LLC

10 mi

Cardiovascular Disease

5701 W 119TH ST STE 430
Overland Park, KS 66209

Reassigned Medicare billing, Kansas and Missouri enrollments
74 clinicians in this Medicare group

NPI 1760736615 (913) 253-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,794 services1,266 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

676 services662 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

499 services490 patients

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.

261 services221 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

253 services224 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.

250 services129 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

100 services99 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

99 services99 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

95 services95 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

72 services64 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

59 services52 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

51 services51 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

38 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services28 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

29 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Ultrasound of heart 93307

An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.

21 services21 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

19 services18 patients

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482

This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.

18 services13 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

18 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

Kansas City Orthopaedic Institute

Acute Care Hospitals · Leawood, KS

OwnershipPhysician

CMS Certification Number170188

Location3651 College BlvdLeawood, KS 66211 · Johnson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66061 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

91.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

87.57

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

77%478 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,233 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

92%536 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%908 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%591 patients2/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%478 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 549 patients

Patients totalRate: 0% · 549 patients

0%549 patients5/55-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.

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.

HOWARD YONGHWAN LEE D.O.

Internal Medicine (Cardiovascular Disease)

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

ANGELINA MARIE BATES APRN

Nurse Practitioner

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

JOYCE A SCHOFIELD M.D.

Internal Medicine

20805 W 151ST ST, SUITE 224
OLATHE, KS 66061

Johnson County (913) 782-8300

SHAWNA LEE VANLEEUWEN APRN

Nurse Practitioner

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

STEVEN D OBERMUELLER MD

Internal Medicine (Cardiovascular Disease)

20805 W 151ST ST, BLDG 2 STE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

DR. RAVI K YARLAGADDA M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

20805 W 151ST ST, BUILDING 2, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

RANGARAO TUMMALA MD

Internal Medicine (Clinical Cardiac Electrophysiology)

20805 W 151ST ST, BUILDING 2 SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

OLATHE HEALTH PHYSICIANS, INC.

Internal Medicine (Cardiovascular Disease)

20805 W 151ST ST, SUITE 400
OLATHE, KS 66061

Johnson County (913) 780-4900

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 Thomas Baldwin's NPI number?

The NPI number for Thomas Baldwin is 1104872746. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Thomas Baldwin located?

Thomas Baldwin practices at 20805 W 151st St Building 2 Suite 400, Olathe, KS 66061. The listed phone number is (913) 780-4900.

What is Thomas Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Thomas Baldwin enrolled in Medicare?

Yes. Thomas Baldwin 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.

Which organizations bill Medicare for Thomas Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Baldwin reassigns Medicare benefits to 2 organizations: Olathe Health Physicians, Inc. (Olathe, KS) and Midwest Heart & Vascular Specialists, LLC (Overland Park, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Baldwin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Thomas Baldwin 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 Thomas Baldwin affiliated with any hospitals?

According to CMS data, Thomas Baldwin is affiliated with University Of Kansas Hospital, Adventhealth Shawnee Mission, Overland Park Reg Med Ctr, Menorah Medical Center and Kansas City Orthopaedic Institute.

When was this NPI record last updated?

The NPPES record for Thomas Baldwin was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.