JUDDSON BALDWIN (PA-C) – Physician Assistant, NPI 1700155124
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,726 PHYSICIAN ASSISTANT in AZ
Provider Addresses for JUDDSON BALDWIN (PA-C)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone: (616) 262-8856
Type: Location
PO BOX 649
FORT DEFIANCE, AZ 865040649
Phone: (616) 262-8856
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 166 Open Payments records for all available years, with a total value of $3,072.
Total Amount is formed as General ($3,072) + Research ($0) + Ownership ($0) = $3,072.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($743).
Total Amount
$3,072
General + Research + Ownership
Payments
166
Total payment records
General Amount
$3,072
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171214002135 | I | Physician Assistant | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 390 | 291 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 147 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 61 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 86504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NM | |
| - | NM | |
| G A S T R O E N T E R O L O G Y | NM | |
| G A S T R O E N T E R O L O G Y | NM | |
| G A S T R O E N T E R O L O G Y | LA | |
| G A S T R O E N T E R O L O G Y | NM | |
| G A S T R O E N T E R O L O G Y | NM | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| G A S T R O E N T E R O L O G Y | UT |
Reviews
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