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DR. MICHAEL D BALDINGER OD
NPI 1255606596
Optometrist in Charlotte, NC

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
1208 SOUTH BLVD, CHARLOTTE, NC 28203(704) 392-2020(704) 399-8029 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael D Baldinger Od NPPES

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

DR. MICHAEL D BALDINGER OD (NPI 1255606596) is an individual optometrist in Charlotte, North Carolina, licensed in North Carolina (2253) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2011).

NPPES Registry Identity

NPI1255606596
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL D BALDINGERCredential: OD
Location Address1208 SOUTH BLVDCharlotte, NC 28203-4208
Mailing Address1208 South BlvdCharlotte, NC 28203-4208 · (704) 392-2020 · Fax (704) 399-8029
Phone(704) 392-2020
Fax(704) 399-8029
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2011
Enumeration DateMarch 20, 2012
Last NPPES UpdateFebruary 15, 2017
✔ NPI 1255606596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2253
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1208 SOUTH BLVD, Charlotte, NC 28203
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Other Identifiers 2

Medicare PINNC5840ANC
Medicaid5920037NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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. Michael D Baldinger Od 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 ID4789846049
PECOS Enrollment IDI20120502000426
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 2

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
28 services28 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Baldinger's NPI number?

The NPI number for Michael Baldinger is 1255606596. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Michael Baldinger located?

Michael Baldinger practices at 1208 South Blvd, Charlotte, NC 28203. The listed phone number is (704) 392-2020.

What is Michael Baldinger's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Baldinger enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Baldinger accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 7 other insurers list Michael Baldinger 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 Baldinger was last updated on February 15, 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.