DR. STEPHEN BARAL D.M.D.
NPI 1720258460
Dentist - General Practice in San Diego, CA

Active since March 10, 2008Opted out of Medicare · through May 23, 2028
5189 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92117(858) 414-3460 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2020, Dec 15, 2020 (2 updates tracked since 2020).

About Dr. Stephen Baral D.m.d. NPPES

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

DR. STEPHEN BARAL D.M.D. (NPI 1720258460) is an individual general practice provider in San Diego, California, licensed in California (20498) and active in the NPI registry since March 2008. He has opted out of Medicare through May 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720258460
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHEN BARALCredential: D.M.D.
Location Address5189 CLAIREMONT MESA BLVDSan Diego, CA 92117-1446
Mailing Address6154 Soledad Mountain RdLa Jolla, CA 92037-7016 · (858) 414-3460
Sole ProprietorYes
Enumeration DateMarch 10, 2008
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
NPI 1720258460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 20498
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5189 CLAIREMONT MESA BLVD, San Diego, CA 92117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Stephen Baral D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 23, 2016 through May 23, 2028.

Opt-Out Effective DateMay 23, 2016
Opt-Out In Effect ThroughMay 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92117 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 3

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

Dentist
5189 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92117
Dentist (General Practice)
5189 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92117
Dentist
5189 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92117

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 Stephen Baral's NPI number?

The NPI number for Stephen Baral is 1720258460. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Stephen Baral located?

Stephen Baral practices at 5189 Clairemont Mesa Blvd, San Diego, CA 92117. The listed phone number is (858) 414-3460.

What is Stephen Baral's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stephen Baral enrolled in Medicare?

No. Stephen Baral has opted out of Medicare through May 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Stephen Baral accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Stephen Baral 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.

When was this NPI record last updated?

The NPPES record for Stephen Baral was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.