NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1235279688 MD
Verify on CMS → Nathan Baldwin, MD
Family Medicine Physician in Booneville, Mississippi.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine 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
5K
Medicare Part D claims · 213 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
20.2/100
▼ 63 pts below national avg 83.1 · Below average
Industry payments
$81.95
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nathan Baldwin, MD reported a CMS MIPS final score of 20.2/100 - below the 83.1 national average - and filed 5,054 Medicare Part D claims in 2023.
- 20.2/100
- MIPS score · -63 vs avg
- 5K
- Part D claims, 2023
- 89%
- generic prescribing
- 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.
Nathan Baldwin, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
20 2nd percentile higher than 2% 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 Nathan Baldwin, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nathan Baldwin, MD writes more Part D claims than 66% of them and scores higher on MIPS quality than 2% - 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 family medicine physician peer from a representative sample of 60; the gold marker is Nathan Baldwin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nathan Baldwin, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Nathan Baldwin, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
5,054 48% vs specialty avg
MIPS final score
20.2/100 62.9 pts vs avg
Specialty distribution in Mississippi
How Family Medicine Physician compares to other specialties among Mississippi providers
Medicare quality performance, MIPS
Nathan Baldwin, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 20.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 20.2/100 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).
Nathan Baldwin, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 100 HOSPITAL ST, Booneville, MS, 38829, with a listed phone of (662) 720-1600. NPI 1235279688 was issued on 02/07/2007.
Medicare Part D records for calendar year 2023 show 5,054 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $329K in drug spend, split 10% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 20.2/100 for the 2023 performance year (Quality 0, Cost 67.3), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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 | 1235279688 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/07/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
20.1815
Final Score
Avg: 83.1
0
Quality
67.2715
Cost
Reporting: Individual
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 Nathan Baldwin, MD. Source: openpaymentsdata.cms.gov.
Total received
$82
Largest payer
ABBVIE 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.
Brand vs generic prescribing mix · Typical
Nathan Baldwin, MD - brand share 10.0%
Family Medicine Physician average
10% brand-name claims vs 89% generic, on 5,054 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.
5,054
Total Claims
$329K
Total Drug Cost
213
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,228
- Total Day Supply
- 264,179
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $234K
- Generic Drug Cost
- $93K
- Opioid Claims
- 76 (1.5% rate)
- Antibiotic Claims
- 202
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 0.84
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 27, 65-74: 99, 75-84: 68, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nathan Baldwin, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
233 claims
- Celecoxib
Celecoxib
208 claims
- Gabapentin
Gabapentin
208 claims
- Alprazolam
Alprazolam
188 claims
- Pantoprazole Sodium
Pantoprazole Sodium
153 claims
- Omeprazole
Omeprazole
144 claims
- Meloxicam
Meloxicam
126 claims
- Atorvastatin Calcium
Atorvastatin Calcium
125 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 233 |
| Celecoxib | 208 |
| Gabapentin | 208 |
| Alprazolam | 188 |
| Pantoprazole Sodium | 153 |
| Omeprazole | 144 |
| Meloxicam | 126 |
| Atorvastatin Calcium | 125 |
| Losartan Potassium | 122 |
| Rosuvastatin Calcium | 100 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Nathan Baldwin, MD fits within the Family Medicine Physician landscape nationally.
147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Nathan Baldwin, MD's 5,054 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Mississippi
Other clinicians with the same primary specialty enrolled in Mississippi, drawn from the same CMS NPPES roster as Baldwin.
Dr. Rolando Abangan
M.D.
Meridian, MS
Dr. Abdu Mohamed Abdallah Ahmed
MD
Jackson, MS
Dr. Kevin Abel
M.D.
Baldwyn, MS
Dr. George Abraham
MD
Vicksburg, MS
Dr. Audie Adams
M.D.
Senatobia, MS
Compare Family Medicine 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 Mississippi medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Mississippi
Frequently Asked Questions
What is Nathan Baldwin, MD's specialty? ▼
Nathan Baldwin, MD specializes in Family Medicine Physician and practices in Booneville, Mississippi. Credentials: MD.
How much does Nathan Baldwin, MD prescribe under Medicare Part D? ▼
In 2023, Nathan Baldwin, MD wrote 5,054 Medicare Part D claims totaling $329K in drug costs for 213 beneficiaries.
What is Nathan Baldwin, MD's Medicare quality score? ▼
Nathan Baldwin, MD has a CMS MIPS Final Score of 20.2/100 (Quality: 0, Cost: 67.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nathan Baldwin, MD located? ▼
Nathan Baldwin, MD is located at 100 HOSPITAL ST, Booneville, MS, 38829. Phone: (662) 720-1600.
What is Nathan Baldwin, MD's NPI number? ▼
Nathan Baldwin, MD's National Provider Identifier (NPI) is 1235279688, issued on 02/07/2007.
Does Nathan Baldwin, MD prescribe more brand-name or generic drugs? ▼
Nathan Baldwin, MD's prescribing is 10% brand-name and 89% generic drugs by claim count, with $234K in brand drug costs.
Does Nathan Baldwin, MD prescribe opioids? ▼
Yes, Nathan Baldwin, MD had 76 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Nathan Baldwin, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nathan Baldwin, MD's most frequently prescribed drugs include Levothyroxine Sodium, Celecoxib, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nathan Baldwin, MD accept Medicare? ▼
Nathan Baldwin, MD appears in CMS Medicare data with 5,054 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nathan Baldwin, MD's credentials? ▼
Nathan Baldwin, MD's NPI is 1235279688 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
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.