Active NPI 1467421503 Individual Practitioner Male Practitioner

Dr. James D Baldwin , MD

Plastic Surgery • Lafayette, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Baldwin, MD is a certified Plastic Surgery practicing in Lafayette, IN. With approximately 41 years of clinical experience since graduating from University Of Utah School Of Medicine in 1985, Dr. Baldwin delivers high-quality medical care to the local community at 1500 SALEM ST.

Dr. Baldwin accepts Medicare assignment.

Frequently performed procedures and clinical services include complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm, removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Salem St

Lafayette, IN 479042164

Telephone 7654488000

Fax 7654488684

Associated Practice Facility / Clinic

🏢 Arnett Clinic, Llc Facility NPI 1508920471

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Lafayette, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs -3.0 yrs vs City Avg

City Avg: 44.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Lafayette, IN (84 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baldwin (41 Years) 41 Yrs

Lafayette Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	42	$1099.00	$387.31
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	43	41	$510.00	$125.69
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	19	$480.00	$121.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	18	$1478.00	$686.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	17	$837.00	$322.98
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	14	$1454.00	$698.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$463.00	$112.14
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$750.00	$332.05
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	11	11	$600.00	$143.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	31	$510.00	$123.60
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	35	32	$1099.00	$390.28
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	24	$1478.00	$694.93
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	20	$837.00	$350.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$463.00	$119.32
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$480.00	$130.47
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	12	11	$1454.00	$699.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	39	$1099.00	$394.04
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	32	31	$1478.00	$701.19
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	28	$510.00	$133.18
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$837.00	$349.41
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$463.00	$120.05
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	14	$1454.00	$678.71
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	14	14	$1804.00	$853.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$480.00	$117.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	42	39	$1099.00	$424.54
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	29	$510.00	$131.28
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	18	$1478.00	$699.56
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	13	$480.00	$134.12
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$1454.00	$709.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	49	44	$1099.00	$416.14
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	32	$510.00	$127.02
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	26	$1478.00	$712.37
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	16	$837.00	$359.95
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$480.00	$119.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$463.00	$115.96
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	13	$1454.00	$662.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	44	42	$1099.00	$402.08
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	26	$510.00	$121.80
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	21	$480.00	$120.31
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	21	$1478.00	$699.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$304.00	$149.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$837.00	$319.27
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	16	16	$1804.00	$844.74
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	16	16	$1656.00	$756.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$463.00	$111.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	61	59	$1099.00	$401.81
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	49	47	$510.00	$127.43
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	27	$1478.00	$676.23
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$480.00	$121.37
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	20	$837.00	$317.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$304.00	$149.91
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	15	$1804.00	$793.92
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$1454.00	$660.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	35	32	$1478.00	$639.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	33	33	$1099.00	$408.11
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	28	$510.00	$122.13
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	17	$480.00	$117.25
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	14	14	$1804.00	$734.82

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01055879A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200370170 (IN)

Commercial Insurance / Payer ID Anthem Provider Number

000000219002 (IN)

Commercial Insurance / Payer ID Caqh Number

11319861 (IN)

Commercial Insurance / Payer ID Phcs Pid Number

170442 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Sidney Bruce , MD

Surgery

NPI 1003044520

Doctor of Medicine (M.D.)

Dr. Michelle Herberts , MD

Internal Medicine - Critical Care Medicine

NPI 1003270786

Doctor of Medicine (M.D.)

Betty Wellman , NP

Nurse Practitioner - Family

NPI 1003351750

Nurse Practitioner

Dr. Kathryn Stucker , MD

Student in an Organized Health Care Education/Training Program

NPI 1003495391

Doctor of Medicine (M.D.)

Dani'el Mckillip , RN

Registered Nurse - Obstetric, Inpatient

NPI 1003604265

Registered Nurse

Abigail Crum , FNP-BC

Nurse Practitioner - Family

NPI 1003687005

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2008

Registered at 1500 SALEM ST, LAFAYETTE, IN 479042164 (Tel: 7654488000)

📍

Updated Business Mailing Address January 23, 2008

Registered at PO BOX 5545, LAFAYETTE, IN 479035545 (Tel: 7654488000)

👤

Provider Name / Credentials Updated January 23, 2008

Recorded as JAMES BALDWIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2008

Plastic Surgery (License #01055879A in IN)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467421503

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 14, 2006

Last Update: January 23, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5545

Lafayette, IN 479035545

Phone: 7654488000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.