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MICHAEL A BAIRD M.D.
NPI 1346252459
Internal Medicine - Gastroenterology in Sheboygan, WI

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
1414 N TAYLOR DR STE 144, SHEBOYGAN, WI 53081(920) 457-4400(920) 457-4422 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael A Baird M.d. NPPES

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

MICHAEL A BAIRD M.D. (NPI 1346252459) is an individual gastroenterology provider in Sheboygan, Wisconsin, licensed in Wisconsin (53997) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Ohio State University College Of Medicine (1996).

NPPES Registry Identity

NPI1346252459
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL A BAIRDCredential: M.D.
Location Address1414 N TAYLOR DR STE 144Sheboygan, WI 53081-1988
Mailing Address1414 N Taylor Dr Ste 144Sheboygan, WI 53081-1988 · (920) 457-4400 · Fax (920) 457-4422
Phone(920) 457-4400
Fax(920) 457-4422
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1996
Enumeration DateAugust 13, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1346252459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WI · 53997✔ Licensed in OH · 35076731
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1414 N TAYLOR DR STE 144, Sheboygan, WI 53081
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Other Identifiers 4

Medicare UPINH67800OH
Medicaid2332596OH
Medicare PINBA4088902OH
Other53997-20WI · Wi State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Michael A Baird 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 ID6305970013
PECOS Enrollment IDI20240613001887, I20240912000372
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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
159 services159 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
115 services108 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
53 services53 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
19 services19 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.
16 services16 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES

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

EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
Internal Medicine (Gastroenterology)
1414 N TAYLOR DR STE 144
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4400

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 Michael Baird's NPI number?

The NPI number for Michael Baird is 1346252459. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Michael Baird located?

Michael Baird practices at 1414 N Taylor Dr Ste 144, Sheboygan, WI 53081. The listed phone number is (920) 457-4400.

What is Michael Baird's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Baird enrolled in Medicare?

Yes. Michael Baird 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 Michael Baird accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Michael Baird 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 Michael Baird affiliated with any hospitals?

According to CMS data, Michael Baird is affiliated with Jennie Stuart Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Baird was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.