CORY I BALDWIN DO
NPI 1558867911
Family Medicine - Adult Medicine in Du Bois, PA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 371-2200 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 4, 2025, Sep 22, 2021, Sep 17, 2021 (3 updates tracked since 2021).

About Cory I Baldwin Do NPPES

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

CORY I BALDWIN DO (NPI 1558867911) is an individual adult medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OS021801) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Paris Community Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558867911
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameCORY I BALDWINCredential: DO
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address261 E State StBarberton, OH 44203-2964 · (814) 591-7016
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
NPI 1558867911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in PA · OS021801
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedInternal MedicineTaxonomy 207R00000X · License 02008200A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 02008200A (IN)
100 HOSPITAL AVE, Du Bois, PA 15801

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

Cory I Baldwin Do 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 ID1951729680
PECOS Enrollment IDI20220120002133, I20250210001845
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services135 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services65 patients

Hospital Affiliations CMS Care Compare 5

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

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151326
Location801 S Main StClinton, IN 47842 · Vermillion County
Emergency services

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

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
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Cory Baldwin's NPI number?

The NPI number for Cory Baldwin is 1558867911. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Cory Baldwin located?

Cory Baldwin practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 371-2200.

What is Cory Baldwin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Cory Baldwin enrolled in Medicare?

Yes. Cory 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.

Is Cory Baldwin affiliated with any hospitals?

According to CMS data, Cory Baldwin is affiliated with Paris Community Hospital, Union Hospital Inc, Union Hospital Clinton, Sullivan County Community Hospital and Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for Cory Baldwin was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.