DR. GERARDO BALDASSARRI M.D.
NPI 1275504581
Family Medicine in Ponte Vedra, FL

Q: What is Gerardo Baldassarri's NPI number?

The NPI number for Gerardo Baldassarri is 1275504581. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Gerardo Baldassarri's specialty?

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

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment

91.62/100

CMS Quality Rating

98 NOCATEE VILLAGE DR, PONTE VEDRA, FL 32081(904) 202-4243(904) 202-4639 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Nov 4, 2019, Nov 30, 2015 (3 updates tracked since 2015).

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About Dr. Gerardo Baldassarri M.d. NPPES

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

DR. GERARDO BALDASSARRI M.D. (NPI 1275504581) is an individual family medicine provider in Ponte Vedra, Florida, licensed in Florida (ME92921) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275504581

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GERARDO BALDASSARRICredential: M.D.

Location Address98 NOCATEE VILLAGE DRPonte Vedra, FL 32081-6152

Mailing AddressPo Box 746636Atlanta, GA 30374-6636 · (904) 202-1032 · Fax (904) 376-4107

Phone(904) 202-4243

Fax(904) 202-4639

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 27, 2006

Last NPPES UpdateJanuary 10, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2023

✔ NPI 1275504581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME92921

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.

98 NOCATEE VILLAGE DR, Ponte Vedra, FL 32081

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Secondary Practice Locations 3

Location 1309 Palm Coast Pkwy NEPalm Coast, FL 32137-3886 · Phone (386) 445-7073 · Fax (386) 445-7464

Location 26841 Blanding BlvdJacksonville, FL 32244-4418 · Phone (904) 862-2175

Location 3841 Prudential DrJacksonville, FL 32207-8329 · Phone (904) 202-4243 · Fax (904) 202-4638

Other Identifiers 3

Other16636FL · Bcbs

Medicaid273061800FL

Other1275504581FL · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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. Gerardo Baldassarri M.d. 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 ID244281855

PECOS Enrollment IDI20050916000801, I20241022003883

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 14

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.

769 services425 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

215 services170 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

126 services126 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.

124 services124 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.

122 services122 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.

95 services73 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

47 services40 patients

Psychiatric collaborative care management per calendar month, each additional 30 minutes 99494

Psychiatric collaborative care management is a treatment approach where a team of health professionals work together to provide optimal care. This includes monitoring your health, adjusting treatments, and coordinating care. If a session extends beyond the usual time, each additional 30 minutes is accounted for.

31 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

30 services30 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

30 services24 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

25 services11 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC

OwnershipVoluntary non-profit - Private

CMS Certification Number420072

Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County

Emergency services

Allendale County Hospital

Critical Access Hospitals · Fairfax, SC

OwnershipGovernment - Local

CMS Certification Number421300

Location1787 Allendale Fairfax RdFairfax, SC 29827 · Allendale County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.61

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

DR. KRISTEN KELLEY PSYD

Psychologist (Clinical)

98 NOCATEE VILLAGE DR
PONTE VEDRA BEACH, FL 32081

St. Johns County (904) 376-3800

KAYLA G JONES M.S., CCC-SLP

Speech-Language Pathologist

98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081

St. Johns County (904) 202-4243

NICOLE LEE WINTER PSY.D.

Psychologist (Clinical)

98 NOCATEE VILLAGE DR
PONTE VEDRA BEACH, FL 32081

St. Johns County (904) 376-3800

BAPTIST AGEWELL PHYSICIANS INC

Family Medicine (Geriatric Medicine)

98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081

St. Johns County (904) 202-4243

WILEY DOUGLAS FOWLER III PA-C

Physician Assistant

98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081

St. Johns County (904) 202-4243

DR. ANJALI GUPTA MD

Internal Medicine

98 NOCATEE VILLAGE DR
PONTE VEDRA, FL 32081

St. Johns County (904) 202-4243

OLIVIA A RAINES LCSW

Social Worker (Clinical)

98 NOCATEE VILLAGE DR
PONTE VEDRA BEACH, FL 32081

St. Johns County (904) 376-3800

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 Gerardo Baldassarri's NPI number?

The NPI number for Gerardo Baldassarri is 1275504581. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Gerardo Baldassarri located?

Gerardo Baldassarri practices at 98 Nocatee Village Dr, Ponte Vedra, FL 32081. The listed phone number is (904) 202-4243.

What is Gerardo Baldassarri's specialty?

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

Is Gerardo Baldassarri enrolled in Medicare?

Yes. Gerardo Baldassarri 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 Gerardo Baldassarri accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Gerardo Baldassarri 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.

Is Gerardo Baldassarri affiliated with any hospitals?

According to CMS data, Gerardo Baldassarri is affiliated with Baptist Health Medical Center - Jacksonville, Hampton Regional Medical Center and Allendale County Hospital.

When was this NPI record last updated?

The NPPES record for Gerardo Baldassarri was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.