DR. SETH DEAN BALDWIN OD
NPI 1710264072
Optometrist in Fountain, CO
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
Specialties & Licenses
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. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Seth Baldwin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 98 clinicians in this Medicare group
Colorado Springs, CO 80909
- Reassigned Medicare billing, Colorado enrollment
- 4 clinicians in this Medicare group
Denver, CO 80222
- Reassigned Medicare billing, Colorado enrollment
- 70 clinicians in this Medicare group
Phoenix, AZ 85020
- Reassigned Medicare billing, Arizona enrollment
- 5 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 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.
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.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Seth Baldwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seth Baldwin reassigns Medicare benefits to 4 organizations: Abba Eye Care PC (Colorado Springs, CO), Jason Jost Od PC (Colorado Springs, CO), One Hour Optical Medical Services, PC (Denver, CO) and Valley Eye Care Inc. (Phoenix, AZ). 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 Seth Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seth Baldwin accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers 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 10 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.
# Dr. Seth Dean Baldwin, OD · NPI 1710264072
Optometrist provider in Fountain, Colorado. Individual provider, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1710264072 (Entity type: Individual)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3757 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7975 FOUNTAIN MESA RD, Fountain, CO 80817-1535
- **Phone:** (719) 573-2020 · **Fax:** (719) 301-4114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Abba Eye Care PC (NPI 1952301129, Colorado Springs, CO); Jason Jost Od PC (NPI 1164630588, Colorado Springs, CO); One Hour Optical Medical Services, PC (NPI 1770648297, Denver, CO); Valley Eye Care Inc. (NPI 1780797613, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2011
## Record status
- **NPPES last updated:** December 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710264072) · Data from the CMS NPPES public registry.