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DR. OLIVER P ARCHIBALD MD
NPI 1174508105
Hospitalist in Baldwin, NY

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
2807 GRAND AVE, BALDWIN, NY 11510(865) 207-8238 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2023, Sep 12, 2018, Aug 17, 2016 (3 updates tracked since 2016).

About Dr. Oliver P Archibald Md NPPES

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

DR. OLIVER P ARCHIBALD MD (NPI 1174508105) is an individual hospitalist provider in Baldwin, New York, licensed in New York (289251) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Light Maine Coast Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174508105
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. OLIVER P ARCHIBALDCredential: MD
Location Address2807 GRAND AVEBaldwin, NY 11510-4033
Mailing Address2807 Grand AveBaldwin, NY 11510-4033 · (865) 207-8238
Phone(865) 207-8238
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 13, 2005
Last NPPES UpdateNovember 11, 20233 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
✔ NPI 1174508105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 289251
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 44390 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License ME75799 (FL)
2807 GRAND AVE, Baldwin, NY 11510
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550 · Fax (518) 525-6545
Location 2600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221 · Fax (518) 471-4912
Location 31225 E Weisgarber Rd, Suite 200Knoxville, TN 37909-2604 · Phone (865) 584-4747
Location 42215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300 · Fax (518) 271-3440

Other Identifiers 4

Medicaid255856400FL
Other44725FL · Bsfl
Other59068423FL · Bsal
Other7558225FL · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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. Oliver P Archibald 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 ID8022197169
PECOS Enrollment IDI20170112001911, I20201019002903
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 6

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 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.
174 services77 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
86 services84 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.
68 services63 patients
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.
38 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
21 services12 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11510 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$21.27 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$915.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$119.24 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$20.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Oliver Archibald's NPI number?

The NPI number for Oliver Archibald is 1174508105. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Oliver Archibald located?

Oliver Archibald practices at 2807 Grand Ave, Baldwin, NY 11510. The listed phone number is (865) 207-8238.

What is Oliver Archibald's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Oliver Archibald enrolled in Medicare?

Yes. Oliver Archibald 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 Oliver Archibald accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Oliver Archibald 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 Oliver Archibald affiliated with any hospitals?

According to CMS data, Oliver Archibald is affiliated with Northern Light Maine Coast Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Oliver Archibald was last updated on November 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.