MARIELLE C BALDWIN MD
NPI 1396164877
Family Medicine in Boston, MA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
11 MELNEA CASS BLVD, BOSTON, MA 02119(617) 414-2080(617) 414-2090 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jul 19, 2017 (2 updates tracked since 2017).

About Marielle C Baldwin Md NPPES

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

MARIELLE C BALDWIN MD (NPI 1396164877) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (270061) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of University Of Alabama School Of Medicine (2014).

NPPES Registry Identity

NPI1396164877
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIELLE C BALDWINCredential: MD
Location Address11 MELNEA CASS BLVDBoston, MA 02119-4401
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2371 · (617) 414-5404
Fax(617) 414-2090
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
NPI 1396164877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 270061
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 270061 (MA)
11 MELNEA CASS BLVD, Boston, MA 02119

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

Marielle C 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 ID5193943074
PECOS Enrollment IDI20170828002806
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services26 patients
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.
34 services13 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 6

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

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.46 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.17 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier11 claims11 services$0.88 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier15 claims2,550 services$0.03 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier15 claims480 services$0.13 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier15 claims15 services$22.55 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.

Family Medicine
11 MELNEA CASS BLVD
BOSTON, MA 02119
Family Medicine
11 MELNEA CASS BLVD
BOSTON, MA 02119
Nurse Practitioner (Family)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Family Medicine
11 MELNEA CASS BLVD
BOSTON, MA 02119
Social Worker (Clinical)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Nurse Practitioner (Family)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Nurse Practitioner (Family)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Pharmacist (Ambulatory Care)
11 MELNEA CASS BLVD
BOSTON, MA 02119

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 Marielle Baldwin's NPI number?

The NPI number for Marielle Baldwin is 1396164877. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Marielle Baldwin located?

Marielle Baldwin practices at 11 Melnea Cass Blvd, Boston, MA 02119. The listed phone number is (617) 414-2080.

What is Marielle Baldwin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marielle Baldwin enrolled in Medicare?

Yes. Marielle 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 Marielle Baldwin accept?

Health plans from Anthem Blue Cross and Blue Shield list Marielle 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.

Is Marielle Baldwin affiliated with any hospitals?

According to CMS data, Marielle Baldwin is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Marielle Baldwin was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.