DR. MALCOM E BAXTER MD
NPI 1528030616
Orthopaedic Surgery in Hermitage, TN

Q: What is Malcom Baxter's NPI number?

The NPI number for Malcom Baxter is 1528030616. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Malcom Baxter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Malcom Baxter was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment

5651 FRIST BLVD STE 200, HERMITAGE, TN 37076(615) 885-0200(615) 885-0267 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Sep 10, 2024, Jun 8, 2023 and 3 more (6 updates tracked since 2017).

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About Dr. Malcom E Baxter Md NPPES

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

DR. MALCOM E BAXTER MD (NPI 1528030616) is an individual orthopaedic surgery provider in Hermitage, Tennessee, licensed in Tennessee (26514) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1528030616

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MALCOM E BAXTERCredential: MD

Location Address5651 FRIST BLVD STE 200Hermitage, TN 37076-2056

Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018 · Fax (615) 851-2018

Phone(615) 885-0200

Fax(615) 885-0267

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1990

Enumeration DateFebruary 3, 2006

Last NPPES UpdateJune 26, 20256 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1528030616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in TN · 26514✔ Licensed in FL · ME148489

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

5651 FRIST BLVD STE 200, Hermitage, TN 37076

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Secondary Practice Locations 7

Location 125 Doctor Drive, Medical Plaza 2Panama City, FL 32405-4520 · Phone (850) 767-2455 · Fax (850) 767-2790

Location 24998 Crossings Cir Ste 200MT Juliet, TN 37122-0018 · Phone (615) 553-5000 · Fax (833) 441-2292

Location 31492 Tiny Town Rd Ste A1Clarksville, TN 37042-7874 · Phone (615) 758-1030 · Fax (833) 441-2283

Location 4317 Seven Springs Way Ste 101Brentwood, TN 37027-4576 · Phone (615) 370-9992 · Fax (833) 441-2281

Location 52113 Memorial Blvd Ste DMurfreesboro, TN 37129-5109 · Phone (615) 640-6447 · Fax (833) 441-2299

Location 6121 Bear Xing Ste 300MT Juliet, TN 37122-4306 · Phone (615) 885-0200 · Fax (615) 885-0267

Location 75653 Frist Blvd Ste 731Hermitage, TN 37076-2066 · Phone (615) 885-2778 · Fax (615) 986-6052

Other Identifiers 2

Other3039197TN · Bcbs Of Tn

Medicaid3091405TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Dr. Malcom E Baxter 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 ID7719962547

PECOS Enrollment IDI20100113000239

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 3

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.

43 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37076 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$30.49 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$7.94 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 18

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

DR. ERIK M MARYNIW M.D.

Orthopaedic Surgery