DR. ROBERT MICHAEL BALTERA MD
NPI 1811906712
Orthopaedic Surgery - Hand Surgery in Indianapolis, IN

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
54.97/100
CMS Quality Rating
8501 HARCOURT RD, INDIANAPOLIS, IN 46260(317) 875-9105(317) 808-8802 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2026, Mar 11, 2026, Apr 1, 2024 and 2 more (5 updates tracked since 2017).

About Dr. Robert Michael Baltera Md NPPES

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

DR. ROBERT MICHAEL BALTERA MD (NPI 1811906712) is an individual hand surgery provider in Indianapolis, Indiana, licensed in Indiana (01038094A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of State University Of Ny Upstate Medical University (1985).

NPPES Registry Identity

NPI1811906712
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. ROBERT MICHAEL BALTERACredential: MD
Location Address8501 HARCOURT RDIndianapolis, IN 46260-2046
Mailing Address8501 Harcourt RdIndianapolis, IN 46260-2046 · (317) 875-9105 · Fax (317) 808-8802
Fax(317) 808-8802
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1985
Enumeration DateAugust 7, 2006
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1811906712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IN · 01038094A
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01038094A (IN)
8501 HARCOURT RD, Indianapolis, IN 46260

Other Identifiers 1

Medicaid100347470IN

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

Dr. Robert Michael Baltera 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 ID5991851024
PECOS Enrollment IDI20100202000461
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 22

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
696 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
211 services163 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
153 services153 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
149 services149 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services134 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
107 services75 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Orthoindy Hospital

Acute Care Hospitals · Indianapolis, IN
OwnershipPhysician
CMS Certification Number150160
Location8400 Northwest BlvdIndianapolis, IN 46278 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

54.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.71
Promoting Interoperability78
Improvement Activities40
Cost31.53

Referred Medical Equipment & Supplies CMS DME claims 4

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

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$246.11 avg. paid by Medicare
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
4 suppliers26 claims28 services$357.65 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
4 suppliers51 claims52 services$194.15 avg. paid by Medicare
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment L3933
DME-Orthotic Devices · category DF000N
3 suppliers23 claims23 services$129.28 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.

Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist (Hand)
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Anesthesiology
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Physician Assistant
8501 HARCOURT RD
INDIANAPOLIS, IN 46260

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 Robert Baltera's NPI number?

The NPI number for Robert Baltera is 1811906712. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Robert Baltera located?

Robert Baltera practices at 8501 Harcourt Rd, Indianapolis, IN 46260. The listed phone number is (317) 875-9105.

What is Robert Baltera's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Robert Baltera enrolled in Medicare?

Yes. Robert Baltera 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 Robert Baltera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Robert Baltera 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 Robert Baltera affiliated with any hospitals?

According to CMS data, Robert Baltera is affiliated with Ascension St Vincent Kokomo, Ascension St Vincent Hospital and Orthoindy Hospital.

When was this NPI record last updated?

The NPPES record for Robert Baltera was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.