Dr. Michael Baldwin, DO
10 Wildwood Medical Ctr, Essex, CT 06426 • +1-203-555-6506
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Essex Percentiles
NPI #1104895382 • CBSA Regional • Family Practice
Dr. Michael Baldwin, DO (NPI #1104895382) practices Family Practice in Essex, CT (06426) with sub-specialty concentration in 71 Active CMS HCPCS Codes, recording 2,228 annual CMS services across 246 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Essex percentile) (+0.53σ vs CT state mean, 91.63th statewide percentile).
Granular CPT/HCPCS billing distribution at 10 Wildwood Medical Ctr shows Dr. Michael Baldwin's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 875x/yr, 66.67th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 646x/yr, $71–$98).
Direct cash-pay transparency modeling sets Dr. Baldwin's baseline new-consult rate near $209.00 in Essex, CT (cash-pay accepted, in-person clinic visits only, 17-minute average reception wait).
NPI registry verification (#1104895382) confirms Dr. Michael Baldwin's DO standing serving CBSA 06426 with a 4.92/5 patient scorecard.
Compared against Essex, CT Family Practice peers
2,228 annual services across 246 beneficiaries
Standard deviations from CT Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 875 | 66.67th | $93 – $127 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 646 | 66.67th | $71 – $98 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 250 | 69.67th | $107 – $146 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 188 | 71.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 125 | 61.67th | $128 – $175 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (71 HCPCS billing breadth) | 144 | 66.67th | $84 – $122 |
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Dr. Michael Baldwin, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Baldwin National Provider Identifier | NPI #1104895382 (DO) | CMS NPPES Registry (06426) |
| Dr. Baldwin Essex CMS Volume Rank | 66.67th Pct (2,228 CMS svcs; Z +0.529σ) | CMS Medicare Part B (CT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Essex, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.42/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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