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MATTHEW FRANCIS BALDWIN MD
NPI 1396005328
Pediatrics in Cary, NC

Active since May 24, 2012PECOS Enrolled
97 CORNERSTONE DR, CARY, NC 27519(919) 460-0993 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, Oct 17, 2018 (2 updates tracked since 2018).

About Matthew Francis Baldwin Md NPPES

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

MATTHEW FRANCIS BALDWIN MD (NPI 1396005328) is an individual pediatrics provider in Cary, North Carolina, licensed in North Carolina (2015-00200) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396005328
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW FRANCIS BALDWINCredential: MD
Location Address97 CORNERSTONE DRCary, NC 27519-8403
Mailing AddressPo Box 96860Charlotte, NC 28296-6860 · (919) 460-0993
Phone(919) 460-0993
Sole ProprietorYes
Enumeration DateMay 24, 2012
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1396005328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2015-00200
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
97 CORNERSTONE DR, Cary, NC 27519
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Other Identifiers 1

Medicaid1396005328NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Francis Baldwin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Raleigh Durham Medical Group PA
1.8 mi
Family Medicine
3700 NW CARY PKWY
Cary, NC 27513
  • Reassigned Medicare billing, North Carolina enrollment
  • 88 clinicians in this Medicare group
NPI 1033160643 (919) 238-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27519 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 16

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

MARY ROSE WEDEGAERTNER MD
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
RICHARD STEVEN GELBER M.D.
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
SHERILL LYNN STEEN PA
Physician Assistant
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
KRISTIN LYNN DONOGHUE MD
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
RALEIGH DURHAM MEDICAL GROUP PA
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
DR. HEATHER ANNE PETERSON M.D.
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
DR. KELLY A CARNEY MD
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993
BRETT LAMOND WILSON MD
Pediatrics
97 CORNERSTONE DR
CARY, NC 27519
Wake County (919) 460-0993

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 Matthew Baldwin's NPI number?

The NPI number for Matthew Baldwin is 1396005328. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Matthew Baldwin located?

Matthew Baldwin practices at 97 Cornerstone Dr, Cary, NC 27519. The listed phone number is (919) 460-0993.

What is Matthew Baldwin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Baldwin enrolled in Medicare?

Yes. Matthew Baldwin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Baldwin reassigns Medicare benefits to Raleigh Durham Medical Group PA (Cary, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Baldwin accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Matthew 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 Matthew Baldwin was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.