MELANIE L BALDWIN MD
NPI 1356379598
Emergency Medicine in Albuquerque, NM

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108(904) 805-1300(904) 805-1302 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie L Baldwin Md NPPES

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

MELANIE L BALDWIN MD (NPI 1356379598) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2002-0210) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1999).

NPPES Registry Identity

NPI1356379598
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMELANIE L BALDWINCredential: MD
Location Address5400 GIBSON BLVD SEAlbuquerque, NM 87108-4729
Mailing AddressPo Box 676065Dallas, TX 75267-6065 · (904) 805-1300 · Fax (904) 805-1302
Fax(904) 805-1302
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1999
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 20, 2018
NPI 1356379598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NM · 2002-0210
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5400 GIBSON BLVD SE, Albuquerque, NM 87108

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

Melanie L 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 ID244132637
PECOS Enrollment IDI20040126000320
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
73 services73 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier17 claims17 services$15.44 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 suppliers24 claims24 services$74.07 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.

Pharmacist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner (Adult Health)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Pediatrics
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Psychiatric Hospital
5400 GIBSON BLVD SE, 4TH FLOOR
ALBUQUERQUE, NM 87108
Substance Abuse Rehabilitation Facility
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Counselor (Addiction (Substance Use Disorder))
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108

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 Melanie Baldwin's NPI number?

The NPI number for Melanie Baldwin is 1356379598. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Melanie Baldwin located?

Melanie Baldwin practices at 5400 Gibson Blvd SE, Albuquerque, NM 87108. The listed phone number is (904) 805-1300.

What is Melanie Baldwin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Melanie Baldwin enrolled in Medicare?

Yes. Melanie 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.

Is Melanie Baldwin affiliated with any hospitals?

According to CMS data, Melanie Baldwin is affiliated with Lovelace Medical Center and Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Baldwin was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.