Michael David Baldwin, DO
NPI 1104895382ActiveIndividual· Family Medicine· Essex, CT
Family Medicine (DO) with Prohealth Physicians PC, practicing in Essex, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $471,969 for 5,995 claims, against $110,151 paid for services in 2024. Lists Middlesex Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104895382 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 17, 2006 |
| Last updated in NPPES | May 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 000490 | CT |
| Family Medicine, Adult Medicine | 207QA0505X | 000490 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 246 |
|---|---|
| Services billed | 2,228 across 71 procedure codes |
| Paid by Medicare | $110,151 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,995 · 14,768 30-day fills |
|---|---|
| Patients | 648 |
| Total drug cost | $471,969 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Prohealth Physicians PCWinsted, CT · 213 clinicians
Hospital affiliations
- Middlesex HospitalMiddletown, CT
- Yale-New Haven HospitalNew Haven, CT
Other facilities
- Middlesex Health Care at Home and Hospice ProgramHome health agency · Middletown, CT
- Visiting Nurses of the Lower VHome health agency · Centerbrook, CT
- Yale New Haven Health - Health at HomeHome health agency · Milford, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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