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DR. PAUL CLAY BALDWIN III M.D.
NPI 1578884409
Orthopaedic Surgery in Pittsburgh, PA

Active since June 15, 2010PECOS EnrolledAccepts Medicare Assignment
9104 BABCOCK BLVD, SUITE 5113, PITTSBURGH, PA 15237(412) 748-7444(412) 748-7452 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2016, Aug 17, 2016 (2 updates tracked since 2016).

About Dr. Paul Clay Baldwin Iii M.d. NPPES

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

DR. PAUL CLAY BALDWIN III M.D. (NPI 1578884409) is an individual orthopaedic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD458501) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and is a graduate of University Of Connecticut School Of Medicine (2010).

NPPES Registry Identity

NPI1578884409
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL CLAY BALDWIN IIICredential: M.D.
Location Address9104 BABCOCK BLVD, SUITE 5113Pittsburgh, PA 15237-5818
Mailing Address2 Hot Metal St, Quantum One Suite 001Pittsburgh, PA 15203-2348 · (888) 647-9600 · Fax (412) 432-5640
Phone(412) 748-7444
Fax(412) 748-7452
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateSeptember 28, 20162 updates tracked since enumeration
✔ NPI 1578884409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD458501
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.
9104 BABCOCK BLVD, Pittsburgh, PA 15237
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Other Identifiers 1

Medicare PIN524257PD9PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.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. Paul Clay Baldwin Iii 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 ID143540369
PECOS Enrollment IDI20200609001305
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 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.

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.
39 services36 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
34 services33 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
25 services17 patients
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.
25 services24 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.
17 services12 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Jesup, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110124
Location865 South First StreetJesup, GA 31545 · Wayne County
Emergency services Birthing friendly

Liberty Regional Medical Center

Critical Access Hospitals · Hinesville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111335
Location462 E G Miles ParkwayHinesville, GA 31310 · Liberty County
Emergency services

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

GABRIELLE ANNE BUI MD
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Allegheny County (412) 748-7407
NATALIE LLEWELLYN
Physician Assistant (Surgical)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
VASANTI HARSHIT MAJMUDAR M.D.
Obstetrics & Gynecology
9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237
Allegheny County (412) 364-4184
JAMES CRAIG
Physical Medicine & Rehabilitation (Pain Medicine)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
DR. RICHARD AVERY HERMAN JR. MD
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Allegheny County (706) 721-0211
ROMANO PONTZER & ASSOCIATES LIMITED
Internal Medicine (Infectious Disease)
9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237
Allegheny County (412) 348-0330
JUDITH ESMAN
Internal Medicine
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600
DR. MICHAEL W. WEISS M.D.
Specialist
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Allegheny County (412) 367-0600

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 Paul Baldwin's NPI number?

The NPI number for Paul Baldwin is 1578884409. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Paul Baldwin located?

Paul Baldwin practices at 9104 Babcock Blvd Suite 5113, Pittsburgh, PA 15237. The listed phone number is (412) 748-7444.

What is Paul Baldwin's specialty?

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

Is Paul Baldwin enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Baldwin accept?

Health plans from First Choice Next and Molina Healthcare list Paul 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 Paul Baldwin affiliated with any hospitals?

According to CMS data, Paul Baldwin is affiliated with Memorial University Medical Center, Wayne Memorial Hospital, Liberty Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Paul Baldwin was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.