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CLAUDIA BALDERRAMA MD
NPI 1740845239
Surgery in Baltimore, MD

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
250 N CALVERT ST, BALTIMORE, MD 21202(410) 332-9528(410) 385-9383 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Aug 13, 2024, May 9, 2019 (3 updates tracked since 2019).

About Claudia Balderrama Md NPPES

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

CLAUDIA BALDERRAMA MD (NPI 1740845239) is an individual surgery provider in Baltimore, Maryland, licensed in Maryland (D0101291) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Tufts University School Of Medicine (2019).

NPPES Registry Identity

NPI1740845239
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCLAUDIA BALDERRAMACredential: MD
Location Address250 N CALVERT STBaltimore, MD 21202-3505
Mailing Address250 N Calvert StBaltimore, MD 21202-3505 · (410) 332-9528 · Fax (410) 385-9383
Phone(410) 332-9528
Fax(410) 385-9383
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2019
Enumeration DateMay 9, 2019
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1740845239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MD · D0101291
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
250 N CALVERT ST, Baltimore, MD 21202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield 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 Balderrama 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 ID2264977032
PECOS Enrollment IDI20240906001289
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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 4

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

JESSICA ANN CUTLER M.D.
Specialist
250 N CALVERT ST
BALTIMORE, MD 21202
Baltimore City (410) 332-9528
ST PAUL PLACE SPECIALISTS, INC.
Surgery
250 N CALVERT ST
BALTIMORE, MD 21202
Baltimore City (410) 332-9000
JAMIE BRIDDELL NP-C
Nurse Practitioner (Adult Health)
250 N CALVERT ST
BALTIMORE, MD 21202
Baltimore City (410) 332-9800
DR. ARJUN PATEL DO
Surgery
250 N CALVERT ST
BALTIMORE, MD 21202
Baltimore City (631) 512-0329

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 Balderrama's NPI number?

The NPI number for Claudia Balderrama is 1740845239. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Claudia Balderrama located?

Claudia Balderrama practices at 250 N Calvert St, Baltimore, MD 21202. The listed phone number is (410) 332-9528.

What is Claudia Balderrama's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Claudia Balderrama enrolled in Medicare?

Yes. Claudia Balderrama 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 Balderrama accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Claudia Balderrama 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 Balderrama affiliated with any hospitals?

According to CMS data, Claudia Balderrama is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Claudia Balderrama was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.