RACHEL BALDINGER PA-C
NPI 1396351631
Physician Assistant in Pittsburgh, PA

Q: What is Rachel Baldinger's NPI number?

The NPI number for Rachel Baldinger is 1396351631. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Q: What is Rachel Baldinger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Baldinger was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

1307 FEDERAL ST STE 2, PITTSBURGH, PA 15212(877) 660-6777(412) 359-8055 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, May 24, 2021, Sep 22, 2020 (3 updates tracked since 2020).

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About Rachel Baldinger Pa-c NPPES

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

RACHEL BALDINGER PA-C (NPI 1396351631) is an individual physician assistant in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA061709) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Forbes Hospital, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1396351631

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRACHEL BALDINGERCredential: PA-C

Location Address1307 FEDERAL ST STE 2Pittsburgh, PA 15212-4769

Mailing Address4 Allegheny Ctr Fl 7Pittsburgh, PA 15212-5255 · (412) 330-4461 · Fax (412) 330-5844

Phone(877) 660-6777

Fax(412) 359-8055

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 22, 2020

Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1396351631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA061709

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1307 FEDERAL ST STE 2, Pittsburgh, PA 15212

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Secondary Practice Location 1

Location 11400 Locust St, Suite 220Pittsburgh, PA 15219-5114 · Phone (412) 232-8111

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

Rachel Baldinger Pa-c 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 ID1658783014

PECOS Enrollment IDI20201209002229

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

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.

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Forbes Hospital

Acute Care Hospitals · Monroeville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390267

Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

77.5/100

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

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

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.

DR. TIMOTHY JOSEPH SAUBER II MD

Orthopaedic Surgery