DR. CARLOS E BALEEIRO MD
NPI 1841223039
Internal Medicine - Pulmonary Disease in Chattanooga, TN

Q: What is Carlos Baleeiro's NPI number?

The NPI number for Carlos Baleeiro is 1841223039. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Carlos Baleeiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Baleeiro was last updated on June 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

725 GLENWOOD DR, SUITE E-500, CHATTANOOGA, TN 37404(423) 495-2635(423) 495-2638 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Carlos E Baleeiro Md NPPES

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

DR. CARLOS E BALEEIRO MD (NPI 1841223039) is an individual pulmonary disease provider in Chattanooga, Tennessee, licensed in Tennessee (38001) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1841223039

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. CARLOS E BALEEIROCredential: MD

Location Address725 GLENWOOD DR, SUITE E-500Chattanooga, TN 37404-1163

Mailing Address725 Glenwood Dr, Suite E-500Chattanooga, TN 37404-1163 · (423) 495-2635 · Fax (423) 495-2638

Phone(423) 495-2635

Fax(423) 495-2638

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 9, 2006

Last NPPES UpdateJune 27, 2013

✔ NPI 1841223039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 38001

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 38001 (TN)

725 GLENWOOD DR, Chattanooga, TN 37404

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Other Identifiers 3

Medicare UPIN010695688

Medicare UPINH99905

Medicare PIN103I294390TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. Carlos E Baleeiro 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 ID2163312364

PECOS Enrollment IDI20220824001836

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 13

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.

Follow-up hospital inpatient care per day, typically 35 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.

408 services156 patients

Follow-up nursing facility visit per day, typically 15 minutes 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

149 services17 patients

Initial hospital inpatient care per day, typically 70 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.

104 services101 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

101 services100 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

97 services94 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

40 services38 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

38 services38 patients

New patient office or other outpatient visit, 45-59 minutes 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.

34 services34 patients

Test to measure expiratory airflow and volume 94010

27 services27 patients

Follow-up hospital inpatient care per day, typically 15 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.

27 services22 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

21 services21 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

13 services12 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210024

Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County

Emergency services

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210056

Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County

Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

94.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.41

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers23 claims23 services$30.79 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers31 claims31 services$70.23 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers32 claims83 services$30.95 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers16 claims94 services$12.79 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers21 claims21 services$43.78 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers30 claims30 services$15.04 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers25 claims25 services$10.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers47 claims259 services$1.74 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers25 claims25 services$11.85 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers137 claims137 services$16.41 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$39.60 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers17 claims17 services$860.87 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers66 claims66 services$3.95 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers14 claims17 services$29.25 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

9 suppliers348 claims350 services$67.34 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers64 claims64 services$30.16 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims840 services$4.44 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers11 claims1,140 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers23 claims1,282 services$0.73 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims57,750 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$24.14 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers52 claims52 services$24.09 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.

DR. COLLIN G CHERRY MD

Internal Medicine

725 GLENWOOD DR, SUITE 480
CHATTANOOGA, TN 37404

Hamilton County (423) 756-5779

DR. SAMUEL M CURRIN M.D.

Urology

725 GLENWOOD DR, STE E780
CHATTANOOGA, TN 37404

Hamilton County (423) 697-0072

DAVID NEWTON COLLINS MD

Internal Medicine (Gastroenterology)

725 GLENWOOD DR, STE 690 E
CHATTANOOGA, TN 37404

Hamilton County (423) 622-0694

ELIZABETH W GOODWIN NP

Internal Medicine (Gastroenterology)

725 GLENWOOD DR, SUITE 690E
CHATTANOOGA, TN 37404

Hamilton County (423) 622-0694

PAUL CORNEA MD

Internal Medicine (Infectious Disease)

725 GLENWOOD DR, SUITE E-486
CHATTANOOGA, TN 37404

Hamilton County (423) 495-2650

DR. LIEZELLE JURGENS MD

Internal Medicine

725 GLENWOOD DR, SUITE 788
CHATTANOOGA, TN 37404

Hamilton County (423) 495-3940

DR. CHRISTINE PARKER MD

Internal Medicine

725 GLENWOOD DR, SUITE E788
CHATTANOOGA, TN 37404

Hamilton County (423) 495-3940

DR. JACK B MCCALLIE MD

Internal Medicine

725 GLENWOOD DR, SUITE E480
CHATTANOOGA, TN 37404

Hamilton County (423) 756-5779

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 Carlos Baleeiro's NPI number?

The NPI number for Carlos Baleeiro is 1841223039. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Carlos Baleeiro located?

Carlos Baleeiro practices at 725 Glenwood Dr Suite E-500, Chattanooga, TN 37404. The listed phone number is (423) 495-2635.

What is Carlos Baleeiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carlos Baleeiro enrolled in Medicare?

Yes. Carlos Baleeiro 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 Carlos Baleeiro accept?

Health plans from Alliant Health Plans, Inc. list Carlos Baleeiro 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 Carlos Baleeiro affiliated with any hospitals?

According to CMS data, Carlos Baleeiro is affiliated with Medstar Franklin Square Medical Center, Medstar Union Memorial Hospital, Medstar Good Samaritan Hospital and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Carlos Baleeiro was last updated on June 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.