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JAMES G BALDWIN D.O.
NPI 1790851483
Family Medicine in Bangor, ME

Active since November 27, 2006PECOS Enrolled
98.44/100
CMS Quality Rating
689 ODIN ROAD, SUITE 1, BANGOR, ME 04401(207) 947-6800(207) 947-6872 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2022, Dec 9, 2019 (2 updates tracked since 2019).

About James G Baldwin D.o. NPPES

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

JAMES G BALDWIN D.O. (NPI 1790851483) is an individual family medicine provider in Bangor, Maine, licensed in Maine (DO1740) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1790851483
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES G BALDWINCredential: D.O.
Location Address689 ODIN ROAD, SUITE 1Bangor, ME 04401
Mailing Address689 Odin Road, Suite 1Bangor, ME 04401 · (207) 947-6800 · Fax (207) 947-6872
Phone(207) 947-6800
Fax(207) 947-6872
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1790851483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ME · DO1740✔ Licensed in ME · 1740
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.
689 ODIN ROAD, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 11309 Main St, Unit 1Clinton, ME 04927-3134 · Phone (207) 426-0976

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G Baldwin D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Baldwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph Hospital
2.0 mi
General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 clinicians in this Medicare group
NPI 1154321545 (207) 907-1000
Emergency Medicine Services Of Maine, LLC
26 mi
Emergency Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 167 clinicians in this Medicare group
NPI 1578032058 (207) 664-5311
Mainehealth
71 mi
General Acute Care Hospital
111 FRANKLIN HEALTH CMNS
Farmington, ME 04938
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Franklin Memorial Hospital
  • 72 clinicians in this Medicare group
NPI 1558305847 (207) 779-2356

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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 James Baldwin's NPI number?

The NPI number for James Baldwin is 1790851483. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is James Baldwin located?

James Baldwin practices at 689 Odin Road Suite 1, Bangor, ME 04401. The listed phone number is (207) 947-6800.

What is James Baldwin's specialty?

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

Is James Baldwin enrolled in Medicare?

Yes. James Baldwin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Baldwin reassigns Medicare benefits to 3 organizations: St. Joseph Hospital (Bangor, ME), Emergency Medicine Services Of Maine, LLC (Ellsworth, ME) and Mainehealth (Farmington, ME). 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 James Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Baldwin accept?

Health plans from Taro Health list James 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 James Baldwin was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.