DR. PHILIP J BALDINGER DPM
NPI 1487656104
Podiatrist - Foot & Ankle Surgery in Bradenton, FL

Q: What is Philip Baldinger's NPI number?

The NPI number for Philip Baldinger is 1487656104. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Philip Baldinger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Philip Baldinger was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment

79.86/100

CMS Quality Rating

1800 CORTEZ RD W, BRADENTON, FL 34207(941) 758-8818(941) 755-2901 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Mar 17, 2018, Jul 13, 2017 (3 updates tracked since 2017).

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About Dr. Philip J Baldinger Dpm NPPES

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

DR. PHILIP J BALDINGER DPM (NPI 1487656104) is an individual foot & ankle surgery provider in Bradenton, Florida, licensed in Florida (PO2417) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains a secondary practice location in University Park.

NPPES Registry Identity

NPI1487656104

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. PHILIP J BALDINGERCredential: DPM

Location Address1800 CORTEZ RD WBradenton, FL 34207-1335

Mailing Address1800 Cortez Rd WBradenton, FL 34207-1335 · (941) 758-8818 · Fax (941) 755-2901

Phone(941) 758-8818

Fax(941) 755-2901

Sole ProprietorNo

Medical School CMSTemple University School Of Podiatric MedicineGraduated 1990

Enumeration DateAugust 12, 2005

Last NPPES UpdateJanuary 3, 20203 updates tracked since enumeration

✔ NPI 1487656104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · PO2417

Also ListedPodiatristTaxonomy 213E00000X · License PO8041 (FL)

1800 CORTEZ RD W, Bradenton, FL 34207

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Secondary Practice Location 1

Location 18430 Cooper Creek Blvd Ste 101University Park, FL 34201-2016 · Phone (941) 360-9300 · Fax (941) 360-9304

Other Identifiers 1

Other480018371FL · Rr Individual Prov. #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), UnitedHealthcare.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. Philip J Baldinger Dpm 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 ID2769517960

PECOS Enrollment IDI20100913000781

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 18

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 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.

1,796 services673 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

1,558 services586 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

364 services185 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.

363 services225 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.

250 services39 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

119 services47 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

111 services62 patients

Placement of strapping to ankle or foot 29540

Strapping to the ankle or foot is a procedure involving the application of tape or a similar material to provide support and stability. It can help manage injuries, reduce pain, and prevent further harm. The process is non-invasive and typically performed by a trained professional.

96 services75 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.

75 services75 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

71 services17 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.

50 services50 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

38 services28 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

32 services22 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

29 services20 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

28 services19 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.

23 services21 patients

Permanent removal fingernail or toenail 11750

21 services18 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

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.

79.86/100

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

Individually scored

Quality

59.72

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%155 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%53 patients1/55-star benchmark: 98%

Diabetes: Eye Exam

0%93 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%93 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

86%1,324 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%755 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%861 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%865 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,323 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 89% · 537 patients

Patients screened: 93% · 537 patients

0%20 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

76%105 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 765 patients

Patients totalRate: 0% · 765 patients

0%765 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

3 suppliers29 claims58 services$61.43 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

3 suppliers16 claims96 services$24.31 avg. paid by Medicare

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513

DME-Orthotic Devices · category DF000N

2 suppliers13 claims78 services$37.36 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers99 claims1,416 services$9.09 avg. paid by Medicare

Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment L1932

DME-Orthotic Devices · category DF003N

2 suppliers16 claims16 services$741.21 avg. paid by Medicare

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4396

DME-Orthotic Devices · category DF000N

2 suppliers11 claims11 services$135.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

BRUCE J LEVINE, DPM PA

Podiatrist

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

CORTEZ FOOT SURGERY CENTER, P.A.

Clinic/Center (Ambulatory Surgical)

1800 CORTEZ RD W, SUITE B
BRADENTON, FL 34207

Manatee County (941) 758-4608

ADENA ANDREA MAHADAI

Podiatrist (Foot & Ankle Surgery)

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

DR. CHRISTOPHER J ADDISON DPM

Podiatrist

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

DR. RICHARD N BERKUN DPM

Podiatrist (Foot & Ankle Surgery)

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

DR. GARRETT L HARTE DPM

Podiatrist (Foot & Ankle Surgery)

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

MICHELLE SUZANNE EMERY PULSIFER DPM

Podiatrist (Foot & Ankle Surgery)

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

DANIELLE LEE MUSTICO DPM

Podiatrist (Foot & Ankle Surgery)

1800 CORTEZ RD W
BRADENTON, FL 34207

Manatee County (941) 758-8818

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 Philip Baldinger's NPI number?

The NPI number for Philip Baldinger is 1487656104. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Philip Baldinger located?

Philip Baldinger practices at 1800 Cortez Rd W, Bradenton, FL 34207. The listed phone number is (941) 758-8818.

What is Philip Baldinger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Philip Baldinger enrolled in Medicare?

Yes. Philip Baldinger 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 Philip Baldinger accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list Philip Baldinger 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 Philip Baldinger affiliated with any hospitals?

According to CMS data, Philip Baldinger is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Philip Baldinger was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.