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MRS. LORI C. BALDANZA FNP
NPI 1144509845
Nurse Practitioner - Family in Oneonta, NY

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1 FOXCARE DR STE 308, ONEONTA, NY 13820(607) 432-1163(607) 431-5367 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2022, Sep 23, 2020 (2 updates tracked since 2020).

About Mrs. Lori C. Baldanza Fnp NPPES

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

MRS. LORI C. BALDANZA FNP (NPI 1144509845) is an individual family provider in Oneonta, New York, licensed in New York (F336911-1) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1144509845
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LORI C. BALDANZACredential: FNP
Location Address1 FOXCARE DR STE 308Oneonta, NY 13820-2086
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3480 · Fax (607) 547-5034
Phone(607) 432-1163
Fax(607) 431-5367
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 11, 2011
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1144509845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F336911-1
1 FOXCARE DR STE 308, Oneonta, NY 13820
Open in Google Maps ↗

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

Mrs. Lori C. Baldanza Fnp 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 ID3971776212
PECOS Enrollment IDI20111101000388
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 7

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.

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.
167 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
84 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services61 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
76 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services42 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims37 services$6.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims16 services$118.95 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,680 services$0.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER LYNNE PANZARELLA FNP
Family Medicine
1 FOXCARE DR STE 308
ONEONTA, NY 13820
Otsego County (607) 431-5555
DR. BRITTANY MICHELLE TAYLOR MD
Family Medicine
1 FOXCARE DR STE 308
ONEONTA, NY 13820
Otsego County (607) 432-1163
CHRISTINE LOUISE ALTMAN ANP
Nurse Practitioner (Adult Health)
1 FOXCARE DR STE 308
ONEONTA, NY 13820
Otsego County (606) 432-1163
AMULYA PINGALI FNP
Nurse Practitioner (Family)
1 FOXCARE DR STE 308
ONEONTA, NY 13820
Otsego County (607) 432-1163

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 Lori Baldanza's NPI number?

The NPI number for Lori Baldanza is 1144509845. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Lori Baldanza located?

Lori Baldanza practices at 1 Foxcare Dr Ste 308, Oneonta, NY 13820. The listed phone number is (607) 432-1163.

What is Lori Baldanza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lori Baldanza enrolled in Medicare?

Yes. Lori Baldanza 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.

Is Lori Baldanza affiliated with any hospitals?

According to CMS data, Lori Baldanza is affiliated with Aurelia Osborn Fox Memorial Hospital and Bassett Healthcare.

When was this NPI record last updated?

The NPPES record for Lori Baldanza was last updated on February 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.