CRISOSTOMO R JR. BALIOG (MD) – Internal Medicine Physician, NPI 1932340445
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
760 RHEUMATOLOGY in CA
Provider Addresses for CRISOSTOMO R JR. BALIOG (MD)
600 COFFEE RD
MODESTO, CA 953554201
Phone: (209) 550-4755
Type: Location
Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States
SUITE 300
BREWER, ME 044121005
Phone: (207) 973-9887
Fax: (207) 973-9777
Type: Mailing
33, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States
SUITE 34
BREWER, ME 044121021
Phone: (207) 973-9887
Fax: (207) 973-9777
Type: Location
PO BOX 1599
BANGOR, ME 044021599
Phone: (204) 404-8100
Type: Mailing
1421 Narrow Lane Pkwy
Montgomery, AL 361112654
Phone: (334) 284-3105
Fax: (334) 284-3107
Type: Location
1012 Union St
Bangor, ME 044013060
Phone: (207) 404-8100
Type: Location
33 Whiting Hill Rd
Suite 34
Brewer, ME 044121021
Phone: (207) 973-9887
Fax: (207) 973-9777
Type: Location
1012 UNION ST
BANGOR, ME 044013060
Phone: (207) 404-8100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($101).
Total Amount
$200
General + Research + Ownership
Payments
5
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $101 |
| Janssen Biotech, Inc. | $49 |
| Radius Health, Inc. | $32 |
| Amgen Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-26
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110829000277 | I | Rheumatology | AL | TBD |
| I20140826000217 | I | Rheumatology | ME | TBD |
| I20250826004432 | I | Rheumatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95355)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | ME | 20610 | Aspiration and/or injection of large joint or joint capsule | 38 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | ME | |
| Physician Assistant | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | ME | |
| Family Practice | ME |
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