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DR. DEREK J BAUGHMAN MD
NPI 1750942900
Family Medicine in York, PA

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
1401 ROOSEVELT AVE STE 204, YORK, PA 17404(717) 356-6250 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Apr 20, 2026, Sep 12, 2025 and 3 more (6 updates tracked since 2023).

About Dr. Derek J Baughman Md NPPES

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

DR. DEREK J BAUGHMAN MD (NPI 1750942900) is an individual family medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD477601) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and maintains 28 additional practice locations.

NPPES Registry Identity

NPI1750942900
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEREK J BAUGHMANCredential: MD
Location Address1401 ROOSEVELT AVE STE 204York, PA 17404-2244
Mailing Address243 Curtiss Rd Ste 100Barksdale Afb, LA 71110-2425 · (318) 456-6555
Phone(717) 356-6250
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2019
Last NPPES UpdateJune 5, 20266 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1750942900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD477601✔ Licensed in MD · D0105872
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1401 ROOSEVELT AVE STE 204, York, PA 17404
Open in Google Maps ↗

Secondary Practice Locations 28

Location 140 V Twin Dr Ste 204Gettysburg, PA 17325-7878 · Phone (717) 339-2424
Location 2601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5085
Location 3820 Chambersburg RdGettysburg, PA 17325-3310 · Phone (717) 337-4410
Location 4964 Carpenter RdMilton, PA 17847-7527 · Phone (570) 742-2300 · Fax (570) 742-6276
Location 5720 Norman DrLebanon, PA 17042-7481 · Phone (717) 639-3230 · Fax (717) 274-1659
Location 630 N 4th StLebanon, PA 17046-5606 · Phone (717) 270-1949 · Fax (717) 270-1958
Location 7243 Curtiss Rd Ste 100Barksdale AFB, LA 71110-2425 · Phone (318) 456-6555
Location 822 St Paul DrChambersburg, PA 17201-1036 · Phone (717) 264-6511
Location 912 St Paul DrChambersburg, PA 17201-1035 · Phone (717) 264-6511
Location 104131A Oregon PikeEphrata, PA 17522-9550 · Phone (717) 859-1123
Location 113193 Cape Horn RdRed Lion, PA 17356-8810 · Phone (717) 812-5888 · Fax (717) 741-3709
Location 12105 4th St # 727East Berlin, PA 17316-9638 · Phone (717) 812-4900 · Fax (717) 255-0951
Location 13101 Fairview CirLebanon, PA 17042-9581 · Phone (717) 279-7303 · Fax (717) 279-7471
Location 141790 Old Trail RdEtters, PA 17319-9600 · Phone (717) 938-6588 · Fax (717) 938-6588
Location 1530 W Swartzville RdReinholds, PA 17569-9641 · Phone (717) 484-4347 · Fax (717) 484-0968
Location 16354 Alexander Spring Rd Ste 3Carlisle, PA 17015-7451 · Phone (717) 477-2764 · Fax (717) 839-2772
Location 172 Keefer DrMercersburg, PA 17236-1732 · Phone (717) 328-2119 · Fax (717) 328-0071
Location 1846 Walnut Bottom Rd Ste 200Shippensburg, PA 17257-8219 · Phone (717) 532-4148 · Fax (717) 255-0091
Location 19100 Frederick St, Suite 101Hanover, PA 17331-3518 · Phone (717) 851-7050
Location 202060 Carlisle RdAspers, PA 17304-9707 · Phone (717) 339-2585 · Fax (717) 677-4781
Location 2125 Monument Rd Ste 140York, PA 17403-5057 · Phone (717) 741-8003
Location 221227 Baltimore StHanover, PA 17331-4406 · Phone (717) 812-5190
Location 23264 Granite Run DrLancaster, PA 17601-6804 · Phone (717) 721-8205
Location 246 Perri AveMyerstown, PA 17067-3200 · Phone (717) 949-6581
Location 251575 Bannister StYork, PA 17404-4946 · Phone (717) 812-2000
Location 261135 Georgetown Rd Unit 201Christiana, PA 17509-9543 · Phone (717) 466-2462 · Fax (717) 798-8433
Location 27300 W King St Ste CLittlestown, PA 17340-1446 · Phone (717) 339-2390 · Fax (717) 359-4178
Location 2813515 Wolfe Rd Ste CNew Freedom, PA 17349-9346 · Phone (717) 812-2501 · Fax (717) 461-7178

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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. Derek J Baughman 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 ID547597940
PECOS Enrollment IDI20220706003923
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

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

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17404 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Derek Baughman's NPI number?

The NPI number for Derek Baughman is 1750942900. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Derek Baughman located?

Derek Baughman practices at 1401 Roosevelt Ave Ste 204, York, PA 17404. The listed phone number is (717) 356-6250.

What is Derek Baughman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derek Baughman enrolled in Medicare?

Yes. Derek 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 Derek Baughman accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Derek 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 Derek Baughman affiliated with any hospitals?

According to CMS data, Derek Baughman is affiliated with Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Derek Baughman was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.