NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1467890723 DO
Verify on CMS → Blair Baldwin, DO
Surgery Physician in Biddeford, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
104
Medicare Part D claims · 35 beneficiaries · Surgery Physician avg: 169
MIPS score
84/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$28.09
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Blair Baldwin, DO reported a CMS MIPS final score of 84/100 - above the 83.1 national average - and filed 104 Medicare Part D claims in 2023.
- 84/100
- MIPS score · +1 vs avg
- 104
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Blair Baldwin, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 42nd percentile higher than 42% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Blair Baldwin, DO sits
This provider among surgery physician peers
Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Blair Baldwin, DO writes more Part D claims than 54% of them and scores higher on MIPS quality than 44% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Blair Baldwin, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Blair Baldwin, DO 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).
What does the federal data show about Blair Baldwin, DO?
Near national averagePrimary specialty
Surgery Physician
Medicare Part D claims
104 38% vs specialty avg
MIPS final score
84/100 0.9 pts vs avg
Specialty distribution in Maine
How Surgery Physician compares to other specialties among Maine providers
Medicare quality performance, MIPS
Blair Baldwin, DO's 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 84/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgery Physician) - 84/100 vs national avg 83.1
How MIPS and board certification work
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).
Blair Baldwin, DO appears in the CMS NPPES registry as a Surgery Physician provider holding DO credentials at 9 HEALTHCARE DR STE 204, Biddeford, ME, 04005, with a listed phone of (207) 284-2630. NPI 1467890723 was issued on 06/10/2013.
Medicare Part D records for calendar year 2023 show 104 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84/100 for the 2023 performance year (Quality 60.7, Cost 70.8), compared with the national average of 83.1.
Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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
Provider Details
| NPI | 1467890723 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 06/10/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.9526
Final Score
Avg: 83.1
60.6933
Quality
70.8152
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Blair Baldwin, DO 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.
Central Maine Medical Center
★★★★☆ 4/5
Lewiston, ME
Acute Care Hospitals
CMS CCN: 200024
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Blair Baldwin, DO. Source: openpaymentsdata.cms.gov.
Total received
$28
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
104
Total Claims
$4K
Total Drug Cost
35
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 157
- Total Day Supply
- 3,350
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 64.4 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 13, 65-74: 17, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Omeprazole | 26 |
| Ondansetron Odt Ondansetron | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Blair Baldwin, DO fits within the Surgery Physician landscape nationally.
36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Blair Baldwin, DO's 104 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Baldwin.
Dr. Megan Abbott
MD
Scarborough, ME
Dr. Georges Abourjaily
MD
Portland, ME
Dr. Manoucher Afshari
MD
Lincoln, ME
Dr. Salah Al-Hashimi
MD
South Portland, ME
Katie Allen
Bangor, ME
Compare Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
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Explore Maine
Frequently Asked Questions
What is Blair Baldwin, DO's specialty? ▼
Blair Baldwin, DO specializes in Surgery Physician and practices in Biddeford, Maine. Credentials: DO.
How much does Blair Baldwin, DO prescribe under Medicare Part D? ▼
In 2023, Blair Baldwin, DO wrote 104 Medicare Part D claims totaling $4K in drug costs for 35 beneficiaries.
What is Blair Baldwin, DO's Medicare quality score? ▼
Blair Baldwin, DO has a CMS MIPS Final Score of 84/100 (Quality: 60.7, Cost: 70.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Blair Baldwin, DO located? ▼
Blair Baldwin, DO is located at 9 HEALTHCARE DR STE 204, Biddeford, ME, 04005. Phone: (207) 284-2630.
What is Blair Baldwin, DO's NPI number? ▼
Blair Baldwin, DO's National Provider Identifier (NPI) is 1467890723, issued on 06/10/2013.
How many Surgery Physician providers are there in the US? ▼
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Blair Baldwin, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Blair Baldwin, DO's most frequently prescribed drugs include Omeprazole, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Blair Baldwin, DO accept Medicare? ▼
Blair Baldwin, DO appears in CMS Medicare data with 104 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Blair Baldwin, DO's credentials? ▼
Blair Baldwin, DO's NPI is 1467890723 with credentials DO. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.