SCOTT BALDWIN (O.D.) – Optometrist, NPI 1366794695

SCOTT BALDWIN (O.D.) is a healthcare provider. based in Bettendorf, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 078387 (IA). The NPI Number for SCOTT BALDWIN (O.D.) is 1366794695

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT BALDWIN (O.D.)
NPI
1366794695
Phone
(563) 323-2020
Address
777 TANGLEFOOT LN
Enumeration Date
10 October 2012
Last Update Date
22 October 2018

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3097932020
Graduation Year
2015 (11 years ago)
PAC ID
6406169556
Group Practice PAC ID
4183521206
Professional Enrollment ID
I20190313000004
Address ID
IL612017102RO4731XCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for SCOTT BALDWIN (O.D.)

  • 777 TANGLEFOOT LN

    BETTENDORF, IA 527221650

    Phone: (563) 323-2020

    Fax: (563) 459-6615

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $395.

Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Coherus Biosciences Inc. ($149).

Total Amount

$395

General + Research + Ownership

Payments

5

Total payment records

General Amount

$395

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150717001349IOptometryIATBD
I20190313000004IOptometryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system120120$0
99213Established patient office or other outpatient visit, 20-29 minutes110106$0
99212Established patient office or other outpatient visit, 10-19 minutes7464$0
92012Established patient problem focused exam of visual system4442$0
92004New patient complete exam of visual system3939$0
View full utilization report →

Insurance plans in this area (ZIP 52722)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183521206View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is the standard ID for SCOTT BALDWIN (O.D.) in the U.S.?
In the U.S., SCOTT BALDWIN (O.D.) is identified by NPI 1366794695.
Is SCOTT BALDWIN (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists SCOTT BALDWIN (O.D.) as active.
How should patients interpret SCOTT BALDWIN (O.D.)'s specialty?
The extract shows Optometrist for SCOTT BALDWIN (O.D.). Clinical services aligned with this taxonomy classification.
Can patients visit SCOTT BALDWIN (O.D.) in Bettendorf, Iowa?
For routing, start with Bettendorf, Iowa for SCOTT BALDWIN (O.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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