BLAIR ANDERSON BAUGH NP
NPI 1316429806
Nurse Practitioner - Family in Bloomington, IN

Active since August 31, 2018PECOS EnrolledAccepts Medicare Assignment
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 676-4542 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Sep 28, 2022, Sep 13, 2022 and 2 more (5 updates tracked since 2018).

About Blair Anderson Baugh Np NPPES

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

BLAIR ANDERSON BAUGH NP (NPI 1316429806) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71008293A) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1316429806
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBLAIR ANDERSON BAUGHCredential: NP
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing AddressPo Box 1329Bloomington, IN 47402-1329
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateAugust 31, 2018
Last NPPES UpdateNovember 6, 20245 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1316429806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71008293A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71008293A (IN)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71008293A (IN)
601 W 2ND ST, Bloomington, IN 47403

Other Names 1

Former Name (1)Blair Anderson

Other Identifiers 3

Other000001217774IN · Anthem Ptan
OtherP02195074IN · Railroad Ptan
Medicaid300019980IN

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

Blair Anderson Baugh Np 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 ID1850645334
PECOS Enrollment IDI20181120000847
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services60 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims30 services$15.77 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims20 services$84.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403

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 Blair Baugh's NPI number?

The NPI number for Blair Baugh is 1316429806. It was assigned to this individual provider in the NPPES registry on August 31, 2018. The provider is also known as Blair Anderson.

Where is Blair Baugh located?

Blair Baugh practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 676-4542.

What is Blair Baugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blair Baugh enrolled in Medicare?

Yes. Blair Baugh 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 Blair Baugh accept?

Health plans from CareSource and UnitedHealthcare list Blair Baugh 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 Blair Baugh affiliated with any hospitals?

According to CMS data, Blair Baugh is affiliated with Indiana University Health Bloomington Hospital.

When was this NPI record last updated?

The NPPES record for Blair Baugh was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.