DR. EDWARD LORENZO BALDWIN III MD
NPI 1578096012
Orthopaedic Surgery in Houston, TX
About Dr. Edward Lorenzo Baldwin Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD LORENZO BALDWIN III MD (NPI 1578096012) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (U3149) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Howard University College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 3
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. Edward Lorenzo Baldwin Iii 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 1,579 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,407 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 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Houston Methodist Hospital
Acute Care Hospitals · Houston, TXHouston Methodist Sugarland Hospital
Acute Care Hospitals · Sugar Land, TXHouston Methodist West Hospital
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77094
HOUSTON, TX 77094
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 Edward Baldwin's NPI number?
The NPI number for Edward Baldwin is 1578096012. It was assigned to this individual provider in the NPPES registry on April 11, 2017.
Where is Edward Baldwin located?
Edward Baldwin practices at 18700 Katy Fwy Ste 603, Houston, TX 77094. The listed phone number is (832) 522-8280.
What is Edward Baldwin's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Edward Baldwin enrolled in Medicare?
Yes. Edward 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 Edward Baldwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Baldwin reassigns Medicare benefits to 2 organizations: Houston Methodist Specialty Physicians (Houston, TX) and Tmh Physician Associates PLLC (Houston, TX). 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 Edward Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Baldwin accept?
Health plans from WellPoint list Edward 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 Edward Baldwin affiliated with any hospitals?
According to CMS data, Edward Baldwin is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital and Houston Methodist West Hospital.
When was this NPI record last updated?
The NPPES record for Edward Baldwin was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.
# Dr. Edward Lorenzo Baldwin III, MD · NPI 1578096012
Orthopaedic Surgery physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 11, 2017.
## Identity
- **NPI:** 1578096012 (Entity type: Individual)
- **Enumerated:** April 11, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** U3149 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 18700 KATY FWY STE 603, Houston, TX 77094-0012
- **Phone:** (832) 522-8280 · **Fax:** (832) 522-8281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Houston Methodist Specialty Physicians (NPI 1902614332, Houston, TX); Tmh Physician Associates PLLC (NPI 1275779225, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578096012) · Data from the CMS NPPES public registry.