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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID A BALTIERRA M.D.
NPI 1932169935
Family Medicine in Charles Town, WV

Active since March 24, 2006PECOS Enrolled
94.1/100
CMS Quality Rating
533 S SAMUEL ST, CHARLES TOWN, WV 25414(304) 261-3151 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 7, 2026, Dec 31, 2020 (2 updates tracked since 2020).

About Dr. David A Baltierra M.d. NPPES

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

DR. DAVID A BALTIERRA M.D. (NPI 1932169935) is an individual family medicine provider in Charles Town, West Virginia, licensed in West Virginia (20457) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of University Of Michigan Medical School (1993).

NPPES Registry Identity

NPI1932169935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID A BALTIERRACredential: M.D.
Location Address533 S SAMUEL STCharles Town, WV 25414-1341
Mailing Address533 S Samuel StCharles Town, WV 25414-1341 · (304) 261-3151
Phone(304) 261-3151
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1993
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1932169935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 20457
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
533 S SAMUEL ST, Charles Town, WV 25414
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Other Identifiers 1

Medicaid1807351000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. David A Baltierra 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 ID4688646516
PECOS Enrollment IDI20040810001434, I20260525000172
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 3

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25414 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier14 claims14 services$110.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Baltierra's NPI number?

The NPI number for David Baltierra is 1932169935. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is David Baltierra located?

David Baltierra practices at 533 S Samuel St, Charles Town, WV 25414. The listed phone number is (304) 261-3151.

What is David Baltierra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Baltierra enrolled in Medicare?

Yes. David Baltierra 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 David Baltierra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list David Baltierra 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 David Baltierra affiliated with any hospitals?

According to CMS data, David Baltierra is affiliated with Berkeley Medical Center, Jefferson Medical Center and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for David Baltierra was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.