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MICHAEL D BALDINGER M.D.
NPI 1598879223
Internal Medicine - Addiction Medicine in Chicago, IL

Active since August 19, 2006PECOS Enrolled
1150 W FULLERTON AVE, 2ND FLR, CHICAGO, IL 60614(773) 549-7757(773) 549-1221 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Sep 13, 2021, Nov 4, 2020 (3 updates tracked since 2020).

About Michael D Baldinger M.d. NPPES

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

MICHAEL D BALDINGER M.D. (NPI 1598879223) is an individual addiction medicine provider in Chicago, Illinois, licensed in Illinois (036055789) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1598879223
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameMICHAEL D BALDINGERCredential: M.D.
Location Address1150 W FULLERTON AVE, 2ND FLRChicago, IL 60614-8160
Mailing Address1150 W Fullerton Ave, 2nd FlrChicago, IL 60614-8160 · (773) 549-7757 · Fax (773) 549-1221
Phone(773) 549-7757
Fax(773) 549-1221
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1598879223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in IL · 036055789
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036055789 (IL)
1150 W FULLERTON AVE, Chicago, IL 60614
Open in Google Maps ↗

Secondary Practice Location 1

Location 1124 N Sangamon StChicago, IL 60607-2202 · Phone (312) 550-1312 · Fax (312) 226-8048

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael D Baldinger M.d. 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 Reassignments

2

Medicare enrollment records show Michael Baldinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presence Healthcare Services
0.9 mi
Family Medicine
3002 N ASHLAND AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
NPI 1891073367 (773) 224-0441
Mcdermott Center
3.2 mi
Federally Qualified Health Center (FQHC)
124 N SANGAMON ST
Chicago, IL 60607
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1457004046 (312) 226-7984

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 60614 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
84%38 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
61%36 patients3/55-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.

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.

SAGE MEDICAL GROUP, SC
Internal Medicine
1150 W FULLERTON AVE, 2ND FLOOR
CHICAGO, IL 60614
Cook County (773) 549-7757
GOPIKA CHANDRA MD, PHD
Internal Medicine
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
ELIZABETH STAPLETON APN
Nurse Practitioner (Family)
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
DR. LUCIA GLEASON M.D.
Family Medicine
1150 W FULLERTON AVE, FLOOR 2
CHICAGO, IL 60614
Cook County (773) 549-7757
PAULETTE C WILSON M.D.
Internal Medicine
1150 W FULLERTON AVE, 2ND FLR
CHICAGO, IL 60614
Cook County (773) 549-7757
MARILYN SUE ADEN MD
Internal Medicine
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
ELISABETH KLOR GROSS MD
Internal Medicine
1150 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 549-7757
NORA M CLARKE FNP
Nurse Practitioner (Family)
1150 W FULLERTON AVE, 2ND FLOOR
CHICAGO, IL 60614
Cook County (773) 549-7757

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 Michael Baldinger's NPI number?

The NPI number for Michael Baldinger is 1598879223. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Michael Baldinger located?

Michael Baldinger practices at 1150 W Fullerton Ave 2nd Flr, Chicago, IL 60614. The listed phone number is (773) 549-7757.

What is Michael Baldinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Michael Baldinger enrolled in Medicare?

Yes. Michael Baldinger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Baldinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baldinger reassigns Medicare benefits to 2 organizations: Presence Healthcare Services (Chicago, IL) and Mcdermott Center (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Baldinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Baldinger was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.