1. Home
  2. Directory
  3. Oklahoma
  4. Muskogee
  5. Obstetrics Gynecology
  6. NPI Profile

JONATHAN MARTIN BALDWIN MD
NPI 1255384988
Obstetrics & Gynecology in Muskogee, OK

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
3504 W OKMULGEE ST, MUSKOGEE, OK 74401(918) 686-5399(918) 684-3229 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Martin Baldwin Md NPPES

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

JONATHAN MARTIN BALDWIN MD (NPI 1255384988) is an individual obstetrics & gynecology provider in Muskogee, Oklahoma, licensed in Oklahoma (21802) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of University Of Oklahoma College Of Medicine (1999).

NPPES Registry Identity

NPI1255384988
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJONATHAN MARTIN BALDWINCredential: MD
Location Address3504 W OKMULGEE STMuskogee, OK 74401-5073
Mailing Address6600 S Yale Ave Ste 1200Tulsa, OK 74136-3333 · Fax (918) 392-4465
Phone(918) 686-5399
Fax(918) 684-3229
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1999
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1255384988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OK · 21802
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3504 W OKMULGEE ST, Muskogee, OK 74401
Open in Google Maps ↗

Other Identifiers 2

Medicaid100102610BOK
Other800522535OK · Medicare Group Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Jonathan Martin 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 ID9133197098
PECOS Enrollment IDI20040920000541
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 4

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.
51 services34 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.
22 services22 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.
19 services13 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWIN E HENSLEE IV M.D.
Obstetrics & Gynecology
3504 W OKMULGEE ST
MUSKOGEE, OK 74401
Muskogee County (918) 686-5399

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 Jonathan Baldwin's NPI number?

The NPI number for Jonathan Baldwin is 1255384988. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Jonathan Baldwin located?

Jonathan Baldwin practices at 3504 W Okmulgee St, Muskogee, OK 74401. The listed phone number is (918) 686-5399.

What is Jonathan Baldwin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jonathan Baldwin enrolled in Medicare?

Yes. Jonathan 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 Jonathan Baldwin accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Jonathan 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 Jonathan Baldwin affiliated with any hospitals?

According to CMS data, Jonathan Baldwin is affiliated with Saint Francis Hospital Muskogee.

When was this NPI record last updated?

The NPPES record for Jonathan Baldwin was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.