JONATHAN BAALMAN M.D.
NPI 1629450275
Family Medicine in Wichita, KS

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
550 N HILLSIDE ST, WICHITA, KS 67214(316) 962-2000(303) 306-7753 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Baalman M.d. NPPES

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

JONATHAN BAALMAN M.D. (NPI 1629450275) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (94-08740) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629450275
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN BAALMANCredential: M.D.
Location Address550 N HILLSIDE STWichita, KS 67214-4910
Mailing AddressPo Box 5183Denver, CO 80217-5183 · (303) 306-7783 · Fax (303) 306-7753
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateJune 19, 2015
Last NPPES UpdateMarch 17, 2018
NPI 1629450275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 94-08740
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 0440264 (KS)
550 N HILLSIDE ST, Wichita, KS 67214

Secondary Practice Locations 2

Location 1550 N Hillside StWichita, KS 67214-4910 · Phone (316) 962-2000 · Fax (303) 306-7753
Location 21010 N Kansas StWichita, KS 67214-3124 · Phone (316) 962-3070

Accepted 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

Jonathan Baalman M.d. 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 ID3870807951
PECOS Enrollment IDI20180326002318
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
432 services194 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
282 services160 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
176 services175 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
125 services124 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services35 patients

Hospital Affiliations CMS Care Compare

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

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%192 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$13.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$76.09 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 20

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

Hospitalist
550 N HILLSIDE ST
WICHITA, KS 67214
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Pathology (Anatomic Pathology & Clinical Pathology)
550 N HILLSIDE ST
WICHITA, KS 67214
Nurse Practitioner (Neonatal)
550 N HILLSIDE ST
WICHITA, KS 67214
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Registered Nurse (Neonatal Intensive Care)
550 N HILLSIDE ST
WICHITA, KS 67214

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 Jonathan Baalman's NPI number?

The NPI number for Jonathan Baalman is 1629450275. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Jonathan Baalman located?

Jonathan Baalman practices at 550 N Hillside St, Wichita, KS 67214. The listed phone number is (316) 962-2000.

What is Jonathan Baalman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Baalman enrolled in Medicare?

Yes. Jonathan Baalman 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 Jonathan Baalman accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Jonathan Baalman 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 Jonathan Baalman affiliated with any hospitals?

According to CMS data, Jonathan Baalman is affiliated with Wesley Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Baalman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.