CYNTHIA JACILDONE BALTAZAR M.D.
NPI 1790782548
Internal Medicine in Potsdam, NY

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
50 LEROY ST, POTSDAM, NY 13676(315) 265-3300 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Apr 1, 2021 (2 updates tracked since 2021).

About Cynthia Jacildone Baltazar M.d. NPPES

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

CYNTHIA JACILDONE BALTAZAR M.D. (NPI 1790782548) is an individual internal medicine provider in Potsdam, New York, licensed in New York (183241) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains a secondary practice location in Colton.

NPPES Registry Identity

NPI1790782548
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCYNTHIA JACILDONE BALTAZARCredential: M.D.
Location Address50 LEROY STPotsdam, NY 13676-1799
Mailing Address50 Leroy StPotsdam, NY 13676-1799 · (315) 265-3300 · Fax (315) 262-2279
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1790782548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 183241
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
50 LEROY ST, Potsdam, NY 13676

Other Names 1

Professional Name (2)Dr. Cynthia J Baltazar M.d.

Secondary Practice Location 1

Location 18 Gulf RdColton, NY 13625-0008 · Phone (315) 262-2287 · Fax (315) 262-2279

Other Identifiers 1

Medicaid01203869NY

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

Cynthia Jacildone Baltazar 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 ID8022925841
PECOS Enrollment IDI20040518000527
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 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.
222 services96 patients
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.
162 services66 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.
58 services58 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
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.

Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676

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 Cynthia Baltazar's NPI number?

The NPI number for Cynthia Baltazar is 1790782548. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Dr. Cynthia J Baltazar M.D..

Where is Cynthia Baltazar located?

Cynthia Baltazar practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is Cynthia Baltazar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cynthia Baltazar enrolled in Medicare?

Yes. Cynthia Baltazar 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.

Is Cynthia Baltazar affiliated with any hospitals?

According to CMS data, Cynthia Baltazar is affiliated with Canton-Potsdam Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Baltazar was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.