DALTON DUANE BALDWIN M.D.
NPI 1205927837
Urology in Loma Linda, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11370 ANDERSON ST, STE. 1100, LOMA LINDA, CA 92354(909) 558-2830 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalton Duane Baldwin M.d. NPPES

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

DALTON DUANE BALDWIN M.D. (NPI 1205927837) is an individual urology provider in Loma Linda, California, licensed in California (G75384) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1991).

NPPES Registry Identity

NPI1205927837
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDALTON DUANE BALDWINCredential: M.D.
Location Address11370 ANDERSON ST, STE. 1100Loma Linda, CA 92354-3450
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1991
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 13, 2009
NPI 1205927837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · G75384
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
11370 ANDERSON ST, Loma Linda, CA 92354

Other Identifiers 3

Medicaid00G753840CA
Medicare ID-Type Unspecified00G753840
Medicare UPINF78023

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

Dalton Duane Baldwin 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 ID6406943570
PECOS Enrollment IDI20071106000604
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 16

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 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.
131 services110 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.
80 services73 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
45 services40 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
36 services36 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
33 services30 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.
29 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%156 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.

Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354

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 Dalton Baldwin's NPI number?

The NPI number for Dalton Baldwin is 1205927837. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Dalton Baldwin located?

Dalton Baldwin practices at 11370 Anderson St Ste. 1100, Loma Linda, CA 92354. The listed phone number is (909) 558-2830.

What is Dalton Baldwin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Dalton Baldwin enrolled in Medicare?

Yes. Dalton 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.

When was this NPI record last updated?

The NPPES record for Dalton Baldwin was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.