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DR. SETH DEAN BALDWIN OD
NPI 1710264072
Optometrist in Fountain, CO

Active since November 14, 2011PECOS EnrolledAccepts Medicare Assignment
90.49/100
CMS Quality Rating
7975 FOUNTAIN MESA RD, FOUNTAIN, CO 80817(719) 573-2020(719) 301-4114 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2025, Mar 27, 2018 (2 updates tracked since 2018).

About Dr. Seth Dean Baldwin Od NPPES

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

DR. SETH DEAN BALDWIN OD (NPI 1710264072) is an individual optometrist in Fountain, Colorado, licensed in Colorado (3757) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2011).

NPPES Registry Identity

NPI1710264072
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SETH DEAN BALDWINCredential: OD
Location Address7975 FOUNTAIN MESA RDFountain, CO 80817-1535
Mailing Address7975 Fountain Mesa RdFountain, CO 80817-1535 · (719) 573-2020 · Fax (719) 301-4114
Phone(719) 573-2020
Fax(719) 301-4114
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2011
Enumeration DateNovember 14, 2011
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1710264072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CO · 3757✔ Licensed in TX · 7884✔ Licensed in AZ · AZ2193
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7975 FOUNTAIN MESA RD, Fountain, CO 80817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Seth Dean Baldwin Od 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 ID2062766652
PECOS Enrollment IDI20220307000585
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 2

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80817 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

90.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.52
Improvement Activities40

Other Providers at the Same Location NPPES

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

ABBA EYE CARE PC
Optometrist
7975 FOUNTAIN MESA RD
FOUNTAIN, CO 80817
El Paso County (719) 573-2020

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 Seth Baldwin's NPI number?

The NPI number for Seth Baldwin is 1710264072. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is Seth Baldwin located?

Seth Baldwin practices at 7975 Fountain Mesa Rd, Fountain, CO 80817. The listed phone number is (719) 573-2020.

What is Seth Baldwin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Seth Baldwin enrolled in Medicare?

Yes. Seth 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 Seth Baldwin accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Seth 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.

When was this NPI record last updated?

The NPPES record for Seth Baldwin was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.