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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLIAM WILSON BALDWIN M.D.
NPI 1528405131
Orthopaedic Surgery - Sports Medicine in Orlando, FL

Active since May 23, 2013PECOS EnrolledAccepts Medicare Assignment
84.65/100
CMS Quality Rating
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806(407) 254-2500(407) 423-2789 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Oct 4, 2022 (2 updates tracked since 2022).

About William Wilson Baldwin M.d. NPPES

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

WILLIAM WILSON BALDWIN M.D. (NPI 1528405131) is an individual sports medicine provider in Orlando, Florida, licensed in Florida (ME136636) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528405131
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameWILLIAM WILSON BALDWINCredential: M.D.
Location Address25 W CRYSTAL LAKE ST STE 200Orlando, FL 32806-4476
Mailing Address25 W Crystal Lake St Ste 200Orlando, FL 32806-4476 · (407) 254-2500 · Fax (407) 423-2789
Phone(407) 254-2500
Fax(407) 423-2789
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2013
Enumeration DateMay 23, 2013
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1528405131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME136636
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME136636 (FL)
25 W CRYSTAL LAKE ST STE 200, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1464 N Alafaya Trl Ste 108Orlando, FL 32828-4350 · Phone (407) 398-6450 · Fax (407) 480-4558
Location 26424 Alexandra Louise Dr Ste 200Orlando, FL 32827-5814 · Phone (407) 418-0582 · Fax (407) 418-0583

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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 and accepts Medicare assignment

William Wilson Baldwin M.d. 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 ID749421931
PECOS Enrollment IDI20180918000742
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 William Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Orthopaedic Center MD PA
Same address
Orthopaedic Surgery
25 W CRYSTAL LAKE ST, SUITE 200
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 38 clinicians in this Medicare group
NPI 1740252899 (407) 254-2500

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 9

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.
119 services79 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
97 services65 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.
93 services73 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
67 services35 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
67 services46 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
63 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Ucf Lake Nona Hospital

Acute Care Hospitals · Orlando, FL
OwnershipProprietary
CMS Certification Number100350
Location6850 Lake Nona BlvdOrlando, FL 32827 · Orange County
Emergency services Birthing friendly

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.

84.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.59
Promoting Interoperability92
Improvement Activities40
Cost75.93

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.

CALLIE ANN JEWETT MD
Orthopaedic Surgery (Sports Medicine)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
DR. MICHAEL DAVID RIGGENBACH MD
Orthopaedic Surgery (Hand Surgery)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
DR. JOSEPH D FUNK DPM
Podiatrist (Foot & Ankle Surgery)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
THOMAS JOHN HINES PA-C
Physician Assistant (Medical)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
DANIEL ALLEN BILYARD
Physician Assistant (Surgical)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
MR. MICHAEL ERIC MONTEAGUT PA-C
Physician Assistant (Surgical)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
DR. ERIC GUNN BONENBERGER M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500
SCOTT DOUGLAS HECK PTA
Physical Therapy Assistant
25 W CRYSTAL LAKE ST STE 200
ORLANDO, FL 32806
Orange County (407) 254-2500

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 William Baldwin's NPI number?

The NPI number for William Baldwin is 1528405131. It was assigned to this individual provider in the NPPES registry on May 23, 2013.

Where is William Baldwin located?

William Baldwin practices at 25 W Crystal Lake St Ste 200, Orlando, FL 32806. The listed phone number is (407) 254-2500.

What is William Baldwin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is William Baldwin enrolled in Medicare?

Yes. William 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 organization bills Medicare for William Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Baldwin reassigns Medicare benefits to Orlando Orthopaedic Center MD PA (Orlando, FL). 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 William Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Baldwin accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list William 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 William Baldwin affiliated with any hospitals?

According to CMS data, William Baldwin is affiliated with Adventhealth Orlando and Ucf Lake Nona Hospital.

When was this NPI record last updated?

The NPPES record for William Baldwin was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.