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CLAUDIA F BALDASSANO MD
NPI 1598772048
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3535 MARKET ST, PHILADELPHIA, PA 19104(215) 746-6700(215) 746-5155 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Claudia F Baldassano Md NPPES

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

CLAUDIA F BALDASSANO MD (NPI 1598772048) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD065915L) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Pennsylvania State University College Of Medicine (1991).

NPPES Registry Identity

NPI1598772048
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCLAUDIA F BALDASSANOCredential: MD
Location Address3535 MARKET STPhiladelphia, PA 19104-3309
Mailing Address3535 Market StPhiladelphia, PA 19104-3309
Phone(215) 746-6700
Fax(215) 746-5155
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1991
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 30, 2011
✔ NPI 1598772048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD065915L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3535 MARKET ST, Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 3

Medicaid001736580PA
Medicare UPING87288PA
Medicare ID-Type Unspecified024107PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Claudia F Baldassano 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 ID4385832716
PECOS Enrollment IDI20101229000200
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.

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.
374 services114 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
125 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

KATHLEEN ELLEN KEARNEY ARNP
Nurse Practitioner (Family)
3535 MARKET ST, SUITE 100
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-3535
DR. TIMOTHY OVERTON
Psychologist (Clinical)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-4163
JACQUES P BARBER PHD
Psychologist (Clinical)
3535 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
GIULIETTA ROSE FLAHERTY PSYD
Psychologist (Clinical)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
MS. MARIAN VANLANDINGHAM MOSELEY LCSW
Social Worker (Clinical)
3535 MARKET ST, 2ND FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7216
ELENE TURZO CRNP
Nurse Practitioner (Obstetrics & Gynecology)
3535 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
KATHERINE MCGETTIGAN INGRAM CRNP
Nurse Practitioner (Psychiatric/Mental Health)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (866) 301-4724
MELISSA WALSH CRNP
Nurse Practitioner (Psychiatric/Mental Health)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701

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 Claudia Baldassano's NPI number?

The NPI number for Claudia Baldassano is 1598772048. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Claudia Baldassano located?

Claudia Baldassano practices at 3535 Market St, Philadelphia, PA 19104. The listed phone number is (215) 746-6700.

What is Claudia Baldassano's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Claudia Baldassano enrolled in Medicare?

Yes. Claudia Baldassano 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 Claudia Baldassano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Claudia Baldassano 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 Claudia Baldassano affiliated with any hospitals?

According to CMS data, Claudia Baldassano is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Claudia Baldassano was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.