DR. BRETT JAMES BALDWIN D.O.
NPI 1316212632
Otolaryngology - Otolaryngology/Facial Plastic Surgery in West Des Moines, IA

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
5950 UNIVERSITY AVE STE 265, WEST DES MOINES, IA 50266(515) 875-9450(515) 875-9457 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Dec 8, 2023, Nov 2, 2023 and 2 more (5 updates tracked since 2017).

About Dr. Brett James Baldwin D.o. NPPES

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

DR. BRETT JAMES BALDWIN D.O. (NPI 1316212632) is an individual otolaryngology/facial plastic surgery provider in West Des Moines, Iowa, licensed in Iowa (DO-06498) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2012).

NPPES Registry Identity

NPI1316212632
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. BRETT JAMES BALDWINCredential: D.O.
Location Address5950 UNIVERSITY AVE STE 265West Des Moines, IA 50266-8233
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 875-9255 · Fax (515) 875-9223
Fax(515) 875-9457
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2012
Enumeration DateMarch 20, 2012
Last NPPES UpdateDecember 13, 20235 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1316212632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in IA · DO-06498
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
5950 UNIVERSITY AVE STE 265, West Des Moines, IA 50266

Accepted 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. Brett James Baldwin D.o. 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 ID4880971696
PECOS Enrollment IDI20231114000680
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 11

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
127 services127 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.
125 services97 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.
87 services69 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
62 services50 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
57 services48 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
44 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160032
Location204 N 4th Ave ENewton, IA 50208 · Jasper County
Emergency services Birthing friendly

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Audiologist
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Otolaryngology
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Audiologist
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Audiologist
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Physician Assistant
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Physician Assistant
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266
Physician Assistant
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266

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 Brett Baldwin's NPI number?

The NPI number for Brett Baldwin is 1316212632. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Brett Baldwin located?

Brett Baldwin practices at 5950 University Ave Ste 265, West Des Moines, IA 50266. The listed phone number is (515) 875-9450.

What is Brett Baldwin's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Brett Baldwin enrolled in Medicare?

Yes. Brett 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 Brett Baldwin accept?

Health plans from Medica list Brett 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 Brett Baldwin affiliated with any hospitals?

According to CMS data, Brett Baldwin is affiliated with Mercyone Newton Medical Center and Unitypoint Health - Des Moines Iowa Methodist Medi.

When was this NPI record last updated?

The NPPES record for Brett Baldwin was last updated on December 13, 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.