CESAR BALDEON MD
NPI 1205154101
Family Medicine in Chambersburg, PA

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
112 N 7TH ST, CHAMBERSBURG, PA 17201(717) 217-4300(717) 217-4399 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2017, Mar 4, 2016 (2 updates tracked since 2016).

About Cesar Baldeon Md NPPES

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

CESAR BALDEON MD (NPI 1205154101) is an individual family medicine provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD456699) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1205154101
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCESAR BALDEONCredential: MD
Location Address112 N 7TH STChambersburg, PA 17201-1720
Mailing Address785 5th Ave, Suite 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 217-4218
Fax(717) 217-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 17, 2010
Last NPPES UpdateMay 11, 20172 updates tracked since enumeration
NPI 1205154101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD456699 Licensed in MI · 4301104123
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License MD456699 (PA)
112 N 7TH ST, Chambersburg, PA 17201

Other Identifiers 2

Medicare PINP56910011MI
Medicare PIN467920PA

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

Cesar Baldeon 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.

PECOS PAC ID547408569
PECOS Enrollment IDI20160120001401
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 8

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.

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
123 services120 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
105 services104 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
42 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
31 services31 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 20

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

Hospitalist
112 N 7TH ST
CHAMBERSBURG, PA 17201
Physical Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Occupational Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Occupational Therapy Assistant
112 N 7TH ST, CHAMBERSBURG HOSPITAL - PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Emergency Medicine
112 N 7TH ST
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
112 N 7TH ST
CHAMBERSBURG, PA 17201
Physical Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Physical Therapy Assistant
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201

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 Cesar Baldeon's NPI number?

The NPI number for Cesar Baldeon is 1205154101. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Cesar Baldeon located?

Cesar Baldeon practices at 112 N 7th St, Chambersburg, PA 17201. The listed phone number is (717) 217-4300.

What is Cesar Baldeon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cesar Baldeon enrolled in Medicare?

Yes. Cesar Baldeon 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 Cesar Baldeon affiliated with any hospitals?

According to CMS data, Cesar Baldeon is affiliated with Penn State Health Holy Spirit Medical Center, Milton S Hershey Medical Center and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Cesar Baldeon was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.