DR. MICHAEL THOMAS BALDWIN MD
NPI 1467529701
Radiology - Diagnostic Radiology in Farmington, CT

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2784(860) 679-0136 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Thomas Baldwin Md NPPES

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

DR. MICHAEL THOMAS BALDWIN MD (NPI 1467529701) is an individual diagnostic radiology provider in Farmington, Connecticut, licensed in Connecticut (052032) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2004).

NPPES Registry Identity

NPI1467529701
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL THOMAS BALDWINCredential: MD
Location AddressUCONN MEDICAL GROUP, 263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing AddressUconn Medical Group, 263 Farmington AveFarmington, CT 06030-0001 · (860) 679-2784 · Fax (860) 679-0136
Fax(860) 679-0136
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2004
Enumeration DateNovember 30, 2006
Last NPPES UpdateSeptember 26, 2022
✔ NPI 1467529701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CT · 052032✔ Licensed in MA · 221631
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 052032 (CT)
UCONN MEDICAL GROUP, Farmington, CT 06030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Thomas 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 ID6507921699
PECOS Enrollment IDI20131118000915
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 Reassignments

2

Medicare enrollment records show Michael Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
263 FARMINGTON AVE
Farmington, CT 06030
  • Reassigned Medicare billing, Connecticut enrollment
  • 788 clinicians in this Medicare group
Magnetic Resonance Imaging (MRI)
850 BOLTON RD UNIT 1271
Storrs, CT 06269
  • Reassigned Medicare billing, Connecticut enrollment
  • 186 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 52

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
522 services381 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
301 services277 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
267 services250 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
204 services197 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
166 services156 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
91 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

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.

Nurse Practitioner (Acute Care)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Orthopaedic Surgery
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Physician Assistant (Surgical)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Otolaryngology
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Family Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Practitioner (Adult Health)
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030

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 Michael Baldwin's NPI number?

The NPI number for Michael Baldwin is 1467529701. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Michael Baldwin located?

Michael Baldwin practices at Uconn Medical Group 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2784.

What is Michael Baldwin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Baldwin enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baldwin reassigns Medicare benefits to 2 organizations: University Of Connecticut Health Center (Farmington, CT) and State Of Connecticut (Storrs, CT). Each 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 Michael Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Baldwin accept?

Health plans from Taro Health list Michael 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 Michael Baldwin was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.