DR. MICHAEL GEORGE BALTES JR. MD
NPI 1104317643
Family Medicine in Saint Louis, MO
About Dr. Michael George Baltes Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL GEORGE BALTES JR. MD (NPI 1104317643) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2021020022) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Arnold, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael George Baltes Jr. Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Baltes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 968 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Michael Baltes's NPI number?
The NPI number for Michael Baltes is 1104317643. It was assigned to this individual provider in the NPPES registry on May 21, 2018.
Where is Michael Baltes located?
Michael Baltes practices at 6420 Clayton Rd Rm 2233, Saint Louis, MO 63117. The listed phone number is (314) 951-7240.
What is Michael Baltes's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Baltes enrolled in Medicare?
Yes. Michael Baltes 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.
Which organization bills Medicare for Michael Baltes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baltes reassigns Medicare benefits to Compass Health, Inc. (Wentzville, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Baltes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Baltes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Michael Baltes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Baltes was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Michael George Baltes Jr., MD · NPI 1104317643
Family Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 21, 2018.
## Identity
- **NPI:** 1104317643 (Entity type: Individual)
- **Enumerated:** May 21, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2021020022 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6420 CLAYTON RD RM 2233, Saint Louis, MO 63117-1811
- **Phone:** (314) 951-7240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Compass Health, Inc. (NPI 1861618308, Wentzville, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104317643) · Data from the CMS NPPES public registry.