2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1396164877 MD
Verify on CMS →

MARIELLE BALDWIN, MD

Addiction Medicine (Preventive Medicine) Physician in BOSTON, Massachusetts. 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
2K
Medicare Part D claims · 182 beneficiaries · Addiction Medicine (Preventive Medicine) Physician avg: 959
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: MARIELLE BALDWIN, MD is a Addiction Medicine (Preventive Medicine) Physician ([object Object]) practicing in BOSTON, Massachusetts with a Medicare Part D prescribing footprint of 2K claims across 182 beneficiaries — 17% brand-name prescribing .

What stands out: MARIELLE BALDWIN, MD filed 2,082 Medicare Part D claims in 2023 across BOSTON, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

MARIELLE BALDWIN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/10/2014

NPI 1396164877

Primary specialty

Addiction Medicine (Preventive Medicine) Physician

Rare

321 US NPIs in this specialty

Medicare Part D claims

2,082 117% vs specialty avg

2023 prescription claims

Specialty avg: 959

Specialty distribution in Massachusetts

How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Addiction Medicine (Preventive Medicine) Physician share within Massachusetts

1. Addiction Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Preventive Medicine) Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Preventive Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

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).

MARIELLE BALDWIN, MD is a Addiction Medicine (Preventive Medicine) Physician provider practicing in BOSTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396164877. 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.

MARIELLE BALDWIN, MD appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding MD credentials at 11 MELNEA CASS BLVD, BOSTON, MA, 02119, with a listed phone of (617) 414-2080. NPI 1396164877 was issued on 04/10/2014. 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 2,082 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $539K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 6.3%. 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.

Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 321 enrolled providers across 44 states and an average of 959 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

11 MELNEA CASS BLVD
BOSTON, MA 02119

Provider Details

NPI 1396164877
Specialty Addiction Medicine (Preventive Medicine) Physician
Credentials MD
Gender Female
NPI Issued 04/10/2014

Hospital and facility affiliations

Facilities where MARIELLE BALDWIN, MD 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.

BOSTON UNIVERSITY FAMILY MEDICINE INC
BOSTON, MA

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

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to MARIELLE BALDWIN, MD. To verify MARIELLE BALDWIN, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARIELLE BALDWIN, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 2,082 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.

2,082
Total Claims
$539K
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,236
Total Day Supply
90,582
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$491K
Generic Drug Cost
$46K
Opioid Claims
132 (6.3% rate)
Antibiotic Claims
56

Patient Demographics

Average Patient Age
63.3 years
Avg HCC Risk Score
2.12
Gender Split
59% female / 41% male
Age Distribution
<65: 81, 65-74: 64, 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
Atorvastatin Calcium
95
Lisinopril
67
Gabapentin
61
Omeprazole
58
Fluticasone Propionate
55
Losartan Potassium
55
Trulicity
Dulaglutide
52
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
51
Oxycodone Hcl
48
Cyclobenzaprine Hcl
41

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

Addiction Medicine (Preventive Medicine) Physician Overview

How MARIELLE BALDWIN, MD fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.

321
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider

MARIELLE BALDWIN, MD's 2,082 claims are above the specialty average of 959.

Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Massachusetts

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

Compare Addiction Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIELLE BALDWIN, MD's specialty?
MARIELLE BALDWIN, MD specializes in Addiction Medicine (Preventive Medicine) Physician and practices in BOSTON, Massachusetts. Credentials: MD.
How much does MARIELLE BALDWIN, MD prescribe under Medicare Part D?
In 2023, MARIELLE BALDWIN, MD wrote 2,082 Medicare Part D claims totaling $539K in drug costs for 182 beneficiaries.
Where is MARIELLE BALDWIN, MD located?
MARIELLE BALDWIN, MD is located at 11 MELNEA CASS BLVD, BOSTON, MA, 02119. Phone: (617) 414-2080.
What is MARIELLE BALDWIN, MD's NPI number?
MARIELLE BALDWIN, MD's National Provider Identifier (NPI) is 1396164877, issued on 04/10/2014.
Does MARIELLE BALDWIN, MD prescribe more brand-name or generic drugs?
MARIELLE BALDWIN, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $491K in brand drug costs.
Does MARIELLE BALDWIN, MD prescribe opioids?
Yes, MARIELLE BALDWIN, MD had 132 opioid claims in 2023 with an opioid prescribing rate of 6.3%.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US?
There are 321 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
What drugs does MARIELLE BALDWIN, MD prescribe most often?
Based on 2023 Medicare Part D data, MARIELLE BALDWIN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIELLE BALDWIN, MD accept Medicare?
MARIELLE BALDWIN, MD appears in CMS Medicare data with 2,082 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIELLE BALDWIN, MD's credentials?
MARIELLE BALDWIN, MD's NPI is 1396164877 with credentials MD. 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.
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