DR. BENJAMIN BALDERMAN MD
NPI 1104404847
Pediatrics in San Antonio, TX

Q: What is Benjamin Balderman's NPI number?

The NPI number for Benjamin Balderman is 1104404847. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Benjamin Balderman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 01, 2021PECOS Enrolled

11703 HUEBNER RD STE 104, SAN ANTONIO, TX 78230(210) 644-2320(210) 702-6970 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2025, Oct 1, 2024, Apr 30, 2024 and 1 more (4 updates tracked since 2021).

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About Dr. Benjamin Balderman Md NPPES

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

DR. BENJAMIN BALDERMAN MD (NPI 1104404847) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (U8948) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104404847

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BENJAMIN BALDERMANCredential: MD

Location Address11703 HUEBNER RD STE 104San Antonio, TX 78230-1211

Mailing Address11703 Huebner Rd Ste 104San Antonio, TX 78230-1211 · (201) 644-2320 · Fax (210) 702-6970

Phone(210) 644-2320

Fax(210) 702-6970

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateOctober 28, 20254 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1104404847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · U8948

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11703 HUEBNER RD STE 104, San Antonio, TX 78230

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Balderman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Balderman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates

9.3 mi

Family Medicine

903 W MARTIN ST # MS 49-2
San Antonio, TX 78207

Reassigned Medicare billing, Texas enrollment
1,129 clinicians in this Medicare group

NPI 1245313329 (210) 358-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78230 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

AARON MANUEL PENA LCSW

Social Worker (Clinical)

11703 HUEBNER RD STE 104
SAN ANTONIO, TX 78230

Bexar County (210) 644-2300

BEXAR COUNTY HOSPITAL DISTRICT

Clinic/Center (Ambulatory Family Planning Facility)

11703 HUEBNER RD STE 104
SAN ANTONIO, TX 78230

Bexar County (210) 644-2300

DR. ERICA CLAUDETTE SILVA M.D.

Pediatrics

11703 HUEBNER RD STE 104
SAN ANTONIO, TX 78230

Bexar County (210) 644-2320

HAYA HEALTHCARE PLLC

Clinic/Center (Urgent Care)

11703 HUEBNER RD STE 104
SAN ANTONIO, TX 78230

Bexar County (210) 667-4100

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 Benjamin Balderman's NPI number?

The NPI number for Benjamin Balderman is 1104404847. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Benjamin Balderman located?

Benjamin Balderman practices at 11703 Huebner Rd Ste 104, San Antonio, TX 78230. The listed phone number is (210) 644-2320.

What is Benjamin Balderman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Benjamin Balderman enrolled in Medicare?

Yes. Benjamin Balderman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Balderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Balderman reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). 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 Benjamin Balderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Balderman accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Benjamin Balderman 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 Benjamin Balderman was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.