DR. SAMUEL DEAN BAUGHMAN JR. MD
NPI 1609122910
Surgery in Wilmington, NC

Active since July 24, 2012PECOS EnrolledAccepts Medicare Assignment
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403(910) 662-9300(910) 662-2401 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, May 27, 2021, Feb 11, 2020 (3 updates tracked since 2020).

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

NPI1609122910
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMUEL DEAN BAUGHMAN JR.Credential: MD
Location Address1725 NEW HANOVER MEDICAL PARK DRWilmington, NC 28403-5345
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Fax(910) 662-2401
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012
Enumeration DateJuly 24, 2012
Last NPPES UpdateNovember 3, 20213 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
NPI 1609122910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2021-00169
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2021-00169 (NC)
1725 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403

Secondary Practice Location 1

Location 1920 Doug White Dr Ste 210Myrtle Beach, SC 29572-4120 · Phone (843) 497-6348 · Fax (843) 497-6351

Accepted 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. 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.

PECOS PAC ID5597903054
PECOS Enrollment IDI20210308001617
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
225 services124 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
169 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
84 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services36 patients
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.
51 services51 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

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, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
3%66 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Nurse Practitioner
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Dietitian, Registered
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Internal Medicine (Interventional Cardiology)
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Pharmacist (Ambulatory Care)
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Nurse Practitioner
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Pharmacist (Ambulatory Care)
1725 NEW HANOVER MEDICAL PARK DR
WILMINGTON, NC 28403
Internal Medicine
1725 NEW HANOVER MEDICAL PARK DR
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.

What insurance does Samuel Baughman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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.