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REGINALD PIUS Q BALDONADO MD
NPI 1295966315
Family Medicine in Surprise, AZ

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
14873 W BELL RD, SUITE 100, SURPRISE, AZ 85374(623) 815-7800(623) 815-7900 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reginald Pius Q Baldonado Md NPPES

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

REGINALD PIUS Q BALDONADO MD (NPI 1295966315) is an individual family medicine provider in Surprise, Arizona, licensed in Arizona (41409) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295966315
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameREGINALD PIUS Q BALDONADOCredential: MD
Location Address14873 W BELL RD, SUITE 100Surprise, AZ 85374-7609
Mailing Address9145 W Thunderbird Rd, Suite 101Peoria, AZ 85381-4820 · (623) 815-7800 · Fax (623) 815-7900
Phone(623) 815-7800
Fax(623) 815-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 6, 2009
Last NPPES UpdateMarch 6, 2012
✔ NPI 1295966315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 41409
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.

14873 W BELL RD, Surprise, AZ 85374
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Other Identifiers 1

Medicaid457980AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Reginald Pius Q Baldonado 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 ID7416003801
PECOS Enrollment IDI20091016000238
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 3

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.

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.
126 services76 patients
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.
38 services20 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 3

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

MS. KRISTI MICHELLE HUNTER FNP
Nurse Practitioner (Family)
14873 W BELL RD, SUITE 100
SURPRISE, AZ 85374
Maricopa County (623) 815-7800
CHRISTIN M ANZINI PA
Physician Assistant
14873 W BELL RD, SUITE 100
SURPRISE, AZ 85374
Maricopa County (623) 815-7800
KIMBERLY JAGER FNP
Nurse Practitioner (Family)
14873 W BELL RD
SURPRISE, AZ 85374
Maricopa County (623) 264-8313

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 Reginald Pius Baldonado's NPI number?

The NPI number for Reginald Pius Baldonado is 1295966315. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Reginald Pius Baldonado located?

Reginald Pius Baldonado practices at 14873 W Bell Rd Suite 100, Surprise, AZ 85374. The listed phone number is (623) 815-7800.

What is Reginald Pius Baldonado's specialty?

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

Is Reginald Pius Baldonado enrolled in Medicare?

Yes. Reginald Pius Baldonado 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 Reginald Pius Baldonado accept?

Health plans from Blue Cross Blue Shield of Arizona list Reginald Pius Baldonado 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 Reginald Pius Baldonado was last updated on March 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.