JOSELITO ALVAREZ BAYLON MD
NPI 1467469296
Family Medicine in Milwaukee, WI

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
756 N 35TH ST, SUITE 101, MILWAUKEE, WI 53208(414) 342-2511(414) 342-2209 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joselito Alvarez Baylon Md NPPES

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

JOSELITO ALVAREZ BAYLON MD (NPI 1467469296) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (36046) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1467469296
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSELITO ALVAREZ BAYLONCredential: MD
Location Address756 N 35TH ST, SUITE 101Milwaukee, WI 53208-3360
Mailing Address2425 N 128th StBrookfield, WI 53005-5233 · (262) 352-9081 · Fax (262) 938-0227
Fax(414) 342-2209
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467469296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 36046
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.
756 N 35TH ST, Milwaukee, WI 53208

Other Identifiers 2

Medicaid32167900WI
Medicare UPING11589

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

Joselito Alvarez Baylon 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 ID9638128101
PECOS Enrollment IDI20050122000081
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 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.
57 services25 patients
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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53208 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

Reported Quality Measures

Breast Cancer Screening
49%169 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
4%307 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%112 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%112 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
53%4,263 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%2,926 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 991 patients
Patients screened: 85% · 991 patients
73%192 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims34 services$5.46 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 8

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

Family Medicine
756 N 35TH ST, SUITE 204
MILWAUKEE, WI 53208
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
756 N 35TH ST, SUITE #100
MILWAUKEE, WI 53208
Pediatrics
756 N 35TH ST, SUITE 101
MILWAUKEE, WI 53208
Internal Medicine
756 N 35TH ST, SUITE 100
MILWAUKEE, WI 53208
Home Health
756 N 35TH ST, SUITE 100
MILWAUKEE, WI 53208
Pediatrics
756 N 35TH ST, SUITE 101
MILWAUKEE, WI 53208
Physical Therapist
756 N 35TH ST, STE 203
MILWAUKEE, WI 53208
Home Health
756 N 35TH ST, SUITE 205
MILWAUKEE, WI 53208

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 Joselito Baylon's NPI number?

The NPI number for Joselito Baylon is 1467469296. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Joselito Baylon located?

Joselito Baylon practices at 756 N 35th St Suite 101, Milwaukee, WI 53208. The listed phone number is (414) 342-2511.

What is Joselito Baylon's specialty?

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

Is Joselito Baylon enrolled in Medicare?

Yes. Joselito Baylon 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 Joselito Baylon accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Joselito Baylon 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 Joselito Baylon affiliated with any hospitals?

According to CMS data, Joselito Baylon is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Joselito Baylon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.