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DR. EDWARD M BAYNHAM JR. DPM
NPI 1790913630
Podiatrist - Foot & Ankle Surgery in Columbus, OH

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
1570 FISHINGER RD, COLUMBUS, OH 43221(614) 451-7033(614) 451-7080 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edward M Baynham Jr. Dpm NPPES

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

DR. EDWARD M BAYNHAM JR. DPM (NPI 1790913630) is an individual foot & ankle surgery provider in Columbus, Ohio, licensed in Ohio (003618) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1790913630
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. EDWARD M BAYNHAM JR.Credential: DPM
Location Address1570 FISHINGER RDColumbus, OH 43221-2114
Mailing Address1570 Fishinger RdColumbus, OH 43221-2114 · (989) 621-3607 · Fax (614) 451-7080
Phone(614) 451-7033
Fax(614) 451-7080
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateJuly 20, 2012
✔ NPI 1790913630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in OH · 003618✔ Licensed in PA · SC006106
1570 FISHINGER RD, Columbus, OH 43221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare, UnitedHealthcare.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. Edward M Baynham Jr. Dpm 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 ID2961668116
PECOS Enrollment IDI20120717000325
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 Edward Baynham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital City Foot & Ankle LLC
Same address
Foot & Ankle Surgery
1570 FISHINGER RD
Columbus, OH 43221
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1225399363 (614) 451-7033
State Of Ohio Office Of Budget And Management, State Accounting
4.1 mi
Case Management
3800 LACON RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
NPI 1538134739 (614) 752-0333
Mobile Medical, Inc.
109 mi
Podiatrist
740 COMMERCE DR STE A
Perrysburg, OH 43551
  • Reassigned Medicare billing, Ohio enrollment
  • 166 clinicians in this Medicare group
NPI 1003066747 (502) 244-2420

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
287 services104 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
229 services90 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
76 services37 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
48 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
20 services20 patients

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%984 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%91 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%194 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%357 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
46%229 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
54%227 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
59%357 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 229 patients
0%229 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

DR. JOHN WILLIAM GARRITY PH.D.
Psychologist
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 947-7778
MR. CHARLIE ROBERT VACHRIS L.I.S.W.
Social Worker (Clinical)
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 823-7279
CAPITAL CITY FOOT & ANKLE LLC
Podiatrist (Foot & Ankle Surgery)
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 451-7033
ELIZABETH HARDING
Hearing Instrument Specialist
1570 FISHINGER RD, SUITE E
COLUMBUS, OH 43221
Franklin County (614) 457-5848
J ROBERT PADBERG, PHD
Psychologist
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 451-2771
DR. MICHAEL S WITTER PSY.D.
Psychologist (Clinical)
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 451-2771
SHELLY L. LEE, DDS, MS, INC
Dentist (Endodontics)
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 459-2000
AWAKENINGS COUNSELING
Psychologist (Counseling)
1570 FISHINGER RD
COLUMBUS, OH 43221
Franklin County (614) 859-5994

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 Edward Baynham's NPI number?

The NPI number for Edward Baynham is 1790913630. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Edward Baynham located?

Edward Baynham practices at 1570 Fishinger Rd, Columbus, OH 43221. The listed phone number is (614) 451-7033.

What is Edward Baynham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Edward Baynham enrolled in Medicare?

Yes. Edward Baynham 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 Edward Baynham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Baynham reassigns Medicare benefits to 3 organizations: Capital City Foot & Ankle LLC (Columbus, OH), State Of Ohio Office Of Budget And Management, State Accounting (Hilliard, OH) and Mobile Medical, Inc. (Perrysburg, OH). 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 Edward Baynham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Baynham accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare and UnitedHealthcare list Edward Baynham 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 Edward Baynham was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.