DR. SAMUEL DEAN BAUGHMAN JR. MD
NPI 1609122910
Surgery in Wilmington, NC
About Dr. Samuel Dean Baughman Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL DEAN BAUGHMAN JR. MD (NPI 1609122910) is an individual surgery provider in Wilmington, North Carolina, licensed in North Carolina (2021-00169) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Myrtle Beach.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Samuel Dean Baughman Jr. 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 Samuel Baughman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 335 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health New Hanover Regional Medical Center
Acute Care Hospitals · Wilmington, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28403 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.
Reported Quality Measures
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.
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
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 Samuel Baughman's NPI number?
The NPI number for Samuel Baughman is 1609122910. It was assigned to this individual provider in the NPPES registry on July 24, 2012.
Where is Samuel Baughman located?
Samuel Baughman practices at 1725 New Hanover Medical Park Dr, Wilmington, NC 28403. The listed phone number is (910) 662-9300.
What is Samuel Baughman's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Samuel Baughman enrolled in Medicare?
Yes. Samuel Baughman 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 Samuel Baughman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Baughman reassigns Medicare benefits to 2 organizations: Novant Health Medical Group Coastal Region, LLC (Wilmington, NC) and Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC). 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 Samuel Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Baughman accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer list Samuel Baughman 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 Samuel Baughman affiliated with any hospitals?
According to CMS data, Samuel Baughman is affiliated with Novant Health New Hanover Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Samuel Baughman was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Samuel Dean Baughman Jr., MD · NPI 1609122910
Surgery physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since July 24, 2012.
## Identity
- **NPI:** 1609122910 (Entity type: Individual)
- **Enumerated:** July 24, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2021-00169 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1725 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403-5345
- **Phone:** (910) 662-9300 · **Fax:** (910) 662-2401
## 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): Novant Health Medical Group Coastal Region, LLC (NPI 1376122077, Wilmington, NC); Novant Health New Hanover Regional Medical Center LLC (NPI 1326635418, Wilmington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** November 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609122910) · Data from the CMS NPPES public registry.