ANDREA BALDWIN PA-C
NPI 1679291330
Physician Assistant in Oklahoma City, OK

Q: What is Andrea Baldwin's NPI number?

The NPI number for Andrea Baldwin is 1679291330. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Q: What is Andrea Baldwin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Baldwin was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment

77.69/100

CMS Quality Rating

5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135(054) 608-3800 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Baldwin Pa-c NPPES

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

ANDREA BALDWIN PA-C (NPI 1679291330) is an individual physician assistant in Oklahoma City, Oklahoma and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Oklahoma Heart Hospital, Llc, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1679291330

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANDREA BALDWINCredential: PA-C

Location Address5200 E I 240 SERVICE RDOklahoma City, OK 73135-2607

Mailing Address7800 Nw 85th TerOklahoma City, OK 73132-3385

Phone(054) 608-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 18, 2022

Last NPPES UpdateNovember 25, 2024

NPPES CertifiedNovember 25, 2024

✔ NPI 1679291330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5200 E I 240 SERVICE RD, Oklahoma City, OK 73135

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Secondary Practice Location 1

Location 14050 W Memorial RdOklahoma City, OK 73120-8382 · Phone (405) 608-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Andrea Baldwin Pa-c 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 ID1557730959

PECOS Enrollment IDI20221207000108

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.

Hospital Affiliations CMS Care Compare 2

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

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipPhysician

CMS Certification Number370215

Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370234

Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73135 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

77.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.52

Promoting Interoperability

100

Improvement Activities

Cost

43.13

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OHH PHYSICIANS SOUTH, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)