DANA S BALDERRAMA MD
NPI 1326087206
Plastic Surgery in Topeka, KS

Q: What is Dana Balderrama's NPI number?

The NPI number for Dana Balderrama is 1326087206. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Dana Balderrama's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Dana Balderrama was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

12.9/100

CMS Quality Rating

2902 SW ASBURY DR, TOPEKA, KS 66614(785) 354-9591(785) 327-4142 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2026, Apr 1, 2025, Mar 4, 2024 and 1 more (4 updates tracked since 2023).

On this page

About Dana S Balderrama Md NPPES

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

DANA S BALDERRAMA MD (NPI 1326087206) is an individual plastic surgery provider in Topeka, Kansas, licensed in Kansas (04-48701) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Stormont Vail Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326087206

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDANA S BALDERRAMACredential: MD

Location Address2902 SW ASBURY DRTopeka, KS 66614-4466

Mailing Address2902 Sw Asbury DrTopeka, KS 66614-4466 · (785) 354-9591 · Fax (785) 327-4142

Phone(785) 354-9591

Fax(785) 327-4142

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJune 6, 2006

Last NPPES UpdateApril 3, 20264 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1326087206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in KS · 04-48701✔ Licensed in AZ · 32551

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 32551 (AZ)

2902 SW ASBURY DR, Topeka, KS 66614

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11325 Research Park DrManhattan, KS 66502-5000 · Phone (785) 368-0708 · Fax (785) 368-0766

Location 21500 SW 10th AveTopeka, KS 66604-1301 · Phone (785) 354-6000

Other Identifiers 2

Medicaid30005054300001KS

Medicaid857625AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Medica.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

Dana S Balderrama 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 ID3072504570

PECOS Enrollment IDI20231211002720

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 21

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.

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.

210 services210 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

157 services157 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

92 services22 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.

85 services83 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.

73 services68 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.

52 services50 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

47 services47 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

42 services31 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

36 services36 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

33 services31 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

28 services25 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

25 services19 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

25 services24 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

24 services21 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.

17 services17 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

16 services15 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

16 services16 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

12 services12 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

12 services12 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

11 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170086

Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66614 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

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.

12.9/100

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

Individually scored

Quality

Improvement Activities

Cost

43.01

Leave this field empty

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.

GRANT K GHAHRAMANI MD

Dermatology

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 270-0187

JAMES M MCINTOSH MD

Family Medicine

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 270-0197

HAILEY KELLY APRN

Nurse Practitioner

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 354-9591

BRANDY A MOSZETER APRN

Nurse Practitioner

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 270-0197

JUDY A DOWD PA-C

Physician Assistant

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 270-0187

ADNAN KURTOVIC MD

Dermatology

2902 SW ASBURY DR, DERMATOLOGY
TOPEKA, KS 66614

Shawnee County (785) 270-0187

JOY L HENDERSON DO

Family Medicine

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 270-0197

KERI A HORTON APRN

Nurse Practitioner

2902 SW ASBURY DR
TOPEKA, KS 66614

Shawnee County (785) 270-0197

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 Dana Balderrama's NPI number?

The NPI number for Dana Balderrama is 1326087206. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Dana Balderrama located?

Dana Balderrama practices at 2902 SW Asbury Dr, Topeka, KS 66614. The listed phone number is (785) 354-9591.

What is Dana Balderrama's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Dana Balderrama enrolled in Medicare?

Yes. Dana Balderrama 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 Dana Balderrama accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Medica list Dana Balderrama 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 Dana Balderrama affiliated with any hospitals?

According to CMS data, Dana Balderrama is affiliated with Stormont Vail Hospital.

When was this NPI record last updated?

The NPPES record for Dana Balderrama was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.