ROBERT C BALDWIN M.D.
NPI 1215932843
Ophthalmology in Erie, PA

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
300 STATE ST, STE 201, ERIE, PA 16507(814) 456-4241(814) 453-3354 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2020, Feb 21, 2019 (2 updates tracked since 2019).

About Robert C Baldwin M.d. NPPES

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

ROBERT C BALDWIN M.D. (NPI 1215932843) is an individual ophthalmology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD072346L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1993).

NPPES Registry Identity

NPI1215932843
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT C BALDWINCredential: M.D.
Location Address300 STATE ST, STE 201Erie, PA 16507-1429
Mailing Address300 State St, Ste 201Erie, PA 16507-1429 · (814) 456-4241 · Fax (814) 453-3354
Fax(814) 453-3354
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1993
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
NPI 1215932843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD072346L Licensed in VA · 0101056501 Licensed in NC · 82044
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD072346L (PA)
300 STATE ST, Erie, PA 16507

Other Identifiers 2

Other274174PA · Highmark Bc Bs
Medicaid0018263460002PA

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

Robert C 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 ID6002892668
PECOS Enrollment IDI20101109001234
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 14

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
26,105 services129 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,303 services340 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,014 services739 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
929 services691 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
916 services145 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
690 services504 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Specialist/Technologist (Athletic Trainer)
300 STATE ST, SUITE 106
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Physician Assistant
300 STATE ST, #400A
ERIE, PA 16507
Urology
300 STATE ST, SUITE 301H
ERIE, PA 16507
Nurse Practitioner
300 STATE ST, SUITE 201
ERIE, PA 16507
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Pediatrics
300 STATE ST, SUITE 301
ERIE, PA 16507

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 Robert Baldwin's NPI number?

The NPI number for Robert Baldwin is 1215932843. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Robert Baldwin located?

Robert Baldwin practices at 300 State St Ste 201, Erie, PA 16507. The listed phone number is (814) 456-4241.

What is Robert Baldwin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Baldwin enrolled in Medicare?

Yes. Robert 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 Robert Baldwin was last updated on November 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.