DR. RICHARD BALTISBERGER MD
NPI 1467450668
Pediatrics in Newark, OH

Q: What is Richard Baltisberger's NPI number?

The NPI number for Richard Baltisberger is 1467450668. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Q: What is Richard Baltisberger's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 12, 2005PECOS Enrolled

1865 TAMARACK RD, NEWARK, OH 43055(220) 564-4940(220) 564-4930 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2021, Dec 8, 2020, Sep 13, 2016 (3 updates tracked since 2016).

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About Dr. Richard Baltisberger Md NPPES

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

DR. RICHARD BALTISBERGER MD (NPI 1467450668) is an individual pediatrics provider in Newark, Ohio, licensed in Ohio (35071353) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467450668

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. RICHARD BALTISBERGERCredential: MD

Location Address1865 TAMARACK RDNewark, OH 43055-1350

Mailing Address1865 Tamarack RdNewark, OH 43055-1350 · (220) 564-4940 · Fax (220) 564-4930

Phone(220) 564-4940

Fax(220) 564-4930

Sole ProprietorNo

Enumeration DateJuly 12, 2005

Last NPPES UpdateMarch 18, 20213 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1467450668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35071353

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1865 TAMARACK RD, Newark, OH 43055

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Other Identifiers 1

Medicaid2109971OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Baltisberger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Baltisberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Licking Memorial Professional Corporation

1.0 mi

Anatomic Pathology & Clinical Pathology

1320 W MAIN ST
Newark, OH 43055

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Licking Memorial Health Professionals
280 clinicians in this Medicare group

NPI 1932186053 (740) 348-4266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 14

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

JENNIFER HARTMAN RDN

Dietitian, Registered