NATHAN WARD BALDWIN MD
NPI 1235279688
Internal Medicine in Booneville, MS

Q: What is Nathan Baldwin's NPI number?

The NPI number for Nathan Baldwin is 1235279688. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Nathan Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Baldwin was last updated on August 30, 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.

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment

20.18/100

CMS Quality Rating

100 HOSPITAL ST, SUITE 100, BOONEVILLE, MS 38829(662) 720-1600(662) 720-1664 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2023, Dec 10, 2019 (2 updates tracked since 2019).

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About Nathan Ward Baldwin Md NPPES

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

NATHAN WARD BALDWIN MD (NPI 1235279688) is an individual internal medicine provider in Booneville, Mississippi, licensed in Mississippi (15031) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Magnolia Regional Health Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1992).

NPPES Registry Identity

NPI1235279688

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNATHAN WARD BALDWINCredential: MD

Location Address100 HOSPITAL ST, SUITE 100Booneville, MS 38829-3354

Mailing AddressPo Box 70Booneville, MS 38829-0070 · (662) 720-1600 · Fax (662) 720-1664

Phone(662) 720-1600

Fax(662) 720-1664

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1992

Enumeration DateFebruary 7, 2007

Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1235279688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MS · 15031

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 15031 (MS)

Also ListedPediatricsTaxonomy 208000000X · License 15031 (MS)

100 HOSPITAL ST, Booneville, MS 38829

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Other Identifiers 1

Medicaid00117392MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Nathan Ward 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 ID6800845041

PECOS Enrollment IDI20050114000515

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.

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.

562 services226 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

406 services57 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

358 services185 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

308 services74 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

287 services174 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

81 services44 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

80 services11 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

68 services57 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

43 services42 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.

35 services27 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

31 services11 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

27 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250009

Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County

Emergency services Birthing friendly

Baptist Memorial Hospital Booneville

Acute Care Hospitals · Booneville, MS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number250044

Location100 Hospital StreetBooneville, MS 38829 · Prentiss County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38829 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

20.18/100

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

Individually scored

Quality

Improvement Activities

Cost

67.27

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims28 services$6.80 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers14 claims14 services$22.16 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers12 claims12 services$22.50 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers12 claims22 services$3.23 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$26.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ANCHOR ANESTHESIA, LLC

Anesthesiology

100 HOSPITAL ST
BOONEVILLE, MS 38829

Prentiss County (662) 720-5000

NATHAN W BALDWIN MD PA

Internal Medicine

100 HOSPITAL ST, SUITE 100
BOONEVILLE, MS 38829

Prentiss County (662) 820-1600

BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC.

Medicare Defined Swing Bed Unit

100 HOSPITAL ST
BOONEVILLE, MS 38829

Prentiss County (662) 720-5004

MRS. LAUREN HALL SPARKS CFNP

Nurse Practitioner (Family)

100 HOSPITAL ST, SUITE 200
BOONEVILLE, MS 38829

Prentiss County (662) 720-3000

WILLIAM J BELL JR. MD

Family Medicine

100 HOSPITAL ST
BOONEVILLE, MS 38829

Prentiss County (800) 291-4020

BRANDON JOHNSON BOONEVILLE ANESTHESIA SERVICES

Contractor

100 HOSPITAL ST
BOONEVILLE, MS 38829

Prentiss County (469) 235-5588

UNITED EMERGENCY SERVICES, INC.

Emergency Medicine

100 HOSPITAL ST
BOONEVILLE, MS 38829

Prentiss County (662) 720-5000

FELTON COMBEST MD

Emergency Medicine

100 HOSPITAL ST
BOONEVILLE, MS 38829

Prentiss County (800) 291-4020

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 Nathan Baldwin's NPI number?

The NPI number for Nathan Baldwin is 1235279688. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Nathan Baldwin located?

Nathan Baldwin practices at 100 Hospital St Suite 100, Booneville, MS 38829. The listed phone number is (662) 720-1600.

What is Nathan Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathan Baldwin enrolled in Medicare?

Yes. Nathan 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.

What insurance does Nathan Baldwin accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Nathan 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 Nathan Baldwin affiliated with any hospitals?

According to CMS data, Nathan Baldwin is affiliated with Magnolia Regional Health Center and Baptist Memorial Hospital Booneville.

When was this NPI record last updated?

The NPPES record for Nathan Baldwin was last updated on August 30, 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.