2026 NPPES data Ophthalmology Physician NPI 1336551571 M.D.
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ANDREW BALDWIN, M.D.

Ophthalmology Physician in NORFOLK, Nebraska. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
291
Medicare Part D claims · 122 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5581/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: ANDREW BALDWIN, M.D. is a Ophthalmology Physician ([object Object]) practicing in NORFOLK, Nebraska with a Medicare Part D prescribing footprint of 291 claims across 122 beneficiaries — 44% brand-name prescribing . Their CMS MIPS Final Score of 77.5581/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ANDREW BALDWIN, M.D. reported a CMS MIPS final score of 77.5581 out of 100, below the 83.1 national average, and filed 291 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW BALDWIN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW BALDWIN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/22/2014

NPI 1336551571

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

291 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

77.5581/100 5.541899999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Nebraska

How Ophthalmology Physician compares to other specialties among Nebraska providers

Nebraska providers

Ophthalmology Physician share within Nebraska

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Nebraska

Medicare quality performance — MIPS

ANDREW BALDWIN, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
77.5581/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 77.5581/100 vs national avg 83.1

0%100%National avg83%77.6%
MIPS final score (Ophthalmology Physician) — 77.5581/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW BALDWIN, M.D. is a Ophthalmology Physician provider practicing in NORFOLK, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1336551571. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW BALDWIN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 100 N 37TH ST, NORFOLK, NE, 68701, with a listed phone of (402) 844-8097. NPI 1336551571 was issued on 05/22/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALDWIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 291 prescription claims written by this provider, covering 122 Medicare beneficiaries and totaling roughly $10K in drug spend, split 44% brand-name and 56% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5581/100 for the 2023 performance year (Quality 76.7758, Cost 50.9178), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

100 N 37TH ST
NORFOLK, NE 68701

Provider Details

NPI 1336551571
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 05/22/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.5581
Final Score
Avg: 83.1
76.7758
Quality
50.9178
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW BALDWIN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

FAITH REGIONAL PHYSICIAN SERVICES LLC
NORFOLK, NE

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

ANDREW BALDWIN, M.D. — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 291 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

291
Total Claims
$10K
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
332
Total Day Supply
7,700
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$7K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.18
Gender Split
55% female / 45% male
Age Distribution
<65: 11, 65-74: 51, 75-84: 45, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisolone Acetate
79
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
56
Latanoprost
36
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
35
Moxifloxacin
Moxifloxacin Hcl
18
Timolol Maleate
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How ANDREW BALDWIN, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ANDREW BALDWIN, M.D.'s 291 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Nebraska

Other clinicians with the same primary specialty enrolled in Nebraska, drawn from the same CMS NPPES roster as BALDWIN.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW BALDWIN, M.D.'s specialty?
ANDREW BALDWIN, M.D. specializes in Ophthalmology Physician and practices in NORFOLK, Nebraska. Credentials: M.D..
How much does ANDREW BALDWIN, M.D. prescribe under Medicare Part D?
In 2023, ANDREW BALDWIN, M.D. wrote 291 Medicare Part D claims totaling $10K in drug costs for 122 beneficiaries.
What is ANDREW BALDWIN, M.D.'s Medicare quality score?
ANDREW BALDWIN, M.D. has a CMS MIPS Final Score of 77.5581/100 (Quality: 76.7758, Cost: 50.9178). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW BALDWIN, M.D. located?
ANDREW BALDWIN, M.D. is located at 100 N 37TH ST, NORFOLK, NE, 68701. Phone: (402) 844-8097.
What is ANDREW BALDWIN, M.D.'s NPI number?
ANDREW BALDWIN, M.D.'s National Provider Identifier (NPI) is 1336551571, issued on 05/22/2014.
Does ANDREW BALDWIN, M.D. prescribe more brand-name or generic drugs?
ANDREW BALDWIN, M.D.'s prescribing is 44% brand-name and 56% generic drugs by claim count, with $7K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ANDREW BALDWIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDREW BALDWIN, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Neomycin-Polymyxin-Dexameth, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW BALDWIN, M.D. accept Medicare?
ANDREW BALDWIN, M.D. appears in CMS Medicare data with 291 Part D claims and 122 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW BALDWIN, M.D.'s credentials?
ANDREW BALDWIN, M.D.'s NPI is 1336551571 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology