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DAVID EDWARD BALDWIN
NPI 1356960579
Optometrist in Sedalia, MO

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
27702 HACKBERRY DR, SEDALIA, MO 65301(660) 221-9593 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Apr 9, 2020 (2 updates tracked since 2020).

About David Edward Baldwin NPPES

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

DAVID EDWARD BALDWIN (NPI 1356960579) is an individual optometrist in Sedalia, Missouri, licensed in Missouri (2020015594) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of St. Louis College Of Physicians And Surgeons (2020).

NPPES Registry Identity

NPI1356960579
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID EDWARD BALDWIN
Location Address27702 HACKBERRY DRSedalia, MO 65301-0560
Mailing Address27702 Hackberry DrSedalia, MO 65301-0560 · (660) 221-9593
Phone(660) 221-9593
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1356960579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2020015594
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
27702 HACKBERRY DR, Sedalia, MO 65301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

David Edward Baldwin 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 ID5890103840
PECOS Enrollment IDI20210413000893
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 8

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
303 services295 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
275 services272 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.
101 services89 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
54 services54 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
30 services23 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65301 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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 David Baldwin's NPI number?

The NPI number for David Baldwin is 1356960579. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is David Baldwin located?

David Baldwin practices at 27702 Hackberry Dr, Sedalia, MO 65301. The listed phone number is (660) 221-9593.

What is David Baldwin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Baldwin enrolled in Medicare?

Yes. David 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 David Baldwin accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list David 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.

When was this NPI record last updated?

The NPPES record for David Baldwin was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.