DR. GERARD ANTHONY BALTAZAR D.O.
NPI 1255661211
Surgery in Middletown, NY
About Dr. Gerard Anthony Baltazar D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GERARD ANTHONY BALTAZAR D.O. (NPI 1255661211) is an individual surgery provider in Middletown, New York, licensed in New York (255827) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Harrison.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
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. Gerard Anthony Baltazar D.o. 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 Reassignments
2Medicare enrollment records show Gerard Baltazar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 226 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
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 Gerard Baltazar's NPI number?
The NPI number for Gerard Baltazar is 1255661211. It was assigned to this individual provider in the NPPES registry on January 13, 2010.
Where is Gerard Baltazar located?
Gerard Baltazar practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7575.
What is Gerard Baltazar's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Gerard Baltazar enrolled in Medicare?
Yes. Gerard Baltazar 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 organizations bill Medicare for Gerard Baltazar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Baltazar reassigns Medicare benefits to 2 organizations: Garnet Health Doctors PC (Middletown, NY) and New York University (Boynton Beach, FL). Each 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 Gerard Baltazar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gerard Baltazar affiliated with any hospitals?
According to CMS data, Gerard Baltazar is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Gerard Baltazar was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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. Gerard Anthony Baltazar, D.O. · NPI 1255661211
Surgery physician in Middletown, New York. Individual provider, active in the CMS NPPES registry since January 13, 2010.
## Identity
- **NPI:** 1255661211 (Entity type: Individual)
- **Enumerated:** January 13, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 255827 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 707 E MAIN ST, Middletown, NY 10940-2650
- **Phone:** (845) 333-7575
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Garnet Health Doctors PC (NPI 1093138851, Middletown, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255661211) · Data from the CMS NPPES public registry.