DR. JOHN C BALDINGER M.D.
NPI 1083761183
Ophthalmology in Fairfax, VA

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
94.89/100
CMS Quality Rating
3025 HAMAKER CT STE 101, FAIRFAX, VA 22031(703) 876-9630(703) 876-0163 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John C Baldinger M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN C BALDINGER M.D. (NPI 1083761183) is an individual ophthalmology provider in Fairfax, Virginia, licensed in Virginia (0101039636) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1980).

NPPES Registry Identity

NPI1083761183
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN C BALDINGERCredential: M.D.
Location Address3025 HAMAKER CT STE 101Fairfax, VA 22031-2229
Mailing Address3025 Hamaker Ct Ste 101Fairfax, VA 22031-2229 · (703) 876-9630 · Fax (703) 876-0163
Fax(703) 876-0163
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1980
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMay 7, 2012
NPI 1083761183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101039636
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3025 HAMAKER CT STE 101, Fairfax, VA 22031

Other Identifiers 3

Medicare UPINB70127VA
Medicaid006308902VA
Medicare ID-Type Unspecified00A565C65VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John C Baldinger M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557444171
PECOS Enrollment IDI20120823000300
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
311 services181 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
164 services118 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services33 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.32
Improvement Activities40
Cost83.87

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3025 HAMAKER CT STE 101
FAIRFAX, VA 22031
Ophthalmology
3025 HAMAKER CT STE 101
FAIRFAX, VA 22031
Ophthalmology
3025 HAMAKER CT STE 101
FAIRFAX, VA 22031
Optometrist
3025 HAMAKER CT STE 101
FAIRFAX, VA 22031
Optometrist
3025 HAMAKER CT STE 101
FAIRFAX, VA 22031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Baldinger's NPI number?

The NPI number for John Baldinger is 1083761183. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is John Baldinger located?

John Baldinger practices at 3025 Hamaker Ct Ste 101, Fairfax, VA 22031. The listed phone number is (703) 876-9630.

What is John Baldinger's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Baldinger enrolled in Medicare?

Yes. John Baldinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Baldinger was last updated on May 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.