DR. THOMAS MICHAEL BALDWIN M.D.
NPI 1811964471
Internal Medicine in Portsmouth, VA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(577) 953-6533 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2025, Apr 26, 2022 (2 updates tracked since 2022).

About Dr. Thomas Michael Baldwin M.d. NPPES

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

DR. THOMAS MICHAEL BALDWIN M.D. (NPI 1811964471) is an individual internal medicine provider in Portsmouth, Virginia, licensed in Virginia (0101258537) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Hsc At Houston School Of Dentistry (2004).

NPPES Registry Identity

NPI1811964471
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS MICHAEL BALDWINCredential: M.D.
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 952-6533
Sole ProprietorNo
Medical School CMSUniversity Of Texas Hsc At Houston School Of DentistryGraduated 2004
Enumeration DateMarch 2, 2006
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1811964471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101258537
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 19076 (MS)
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

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. Thomas Michael Baldwin M.d. 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 ID6507911955
PECOS Enrollment IDI20260321000220
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23708 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

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 Thomas Baldwin's NPI number?

The NPI number for Thomas Baldwin is 1811964471. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Thomas Baldwin located?

Thomas Baldwin practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (577) 953-6533.

What is Thomas Baldwin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Baldwin enrolled in Medicare?

Yes. Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Baldwin was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.