DR. MICHAEL J BALDECK (D.O.) – Family Medicine Physician, NPI 1669428967

DR. MICHAEL J BALDECK (D.O.) is a healthcare provider. based in Lewiston, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 0-185 (ID). The NPI Number for DR. MICHAEL J BALDECK (D.O.) is 1669428967

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL J BALDECK (D.O.)
NPI
1669428967
Phone
(208) 798-4818
Address
307 SAINT JOHNS WAY
Enumeration Date
26 May 2006
Last Update Date
26 December 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2053438070
Graduation Year
1994 (32 years ago)
PAC ID
7719907625
Group Practice PAC ID
1759776107
Professional Enrollment ID
I20250813001444
Address ID
AL354017428TU701XXEXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

Provider Addresses for DR. MICHAEL J BALDECK (D.O.)

  • 307 SAINT JOHNS WAY

    LEWISTON, ID 835012435

    Phone: (208) 798-4818

    Fax: (208) 798-8711

    Type: Mailing

  • 222 Southway Ave Ste C

    Lewiston, ID 835012703

    Phone: (208) 798-4818

    Fax: (208) 798-8711

    Type: Location

  • 341 SAINT JOHNS WAY

    LEWISTON, ID 835012436

    Phone: (208) 750-7462

    Fax: (208) 750-7467

    Type: Mailing

  • 222 SOUTHWAY AVE STE C

    LEWISTON, ID 835012703

    Phone: (208) 798-4818

    Fax: (208) 798-8711

    Type: Location

  • 415 6TH STREET

    ATTN: PHYSICIAN SERVICES

    LEWISTON, ID 835012434

    Phone: (208) 750-7462

    Fax: (208) 750-7467

    Type: Mailing

  • 222 SOUTHWAY AVE STE 2A

    LEWISTON, ID 835012703

    Phone: (208) 798-4818

    Fax: (208) 798-8711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($33).

Total Amount

$63

General + Research + Ownership

Payments

4

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250813001444IFamily PracticeALTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes498229$0
99213Established patient office or other outpatient visit, 20-29 minutes395233$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit169169$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3128$0
99215Established patient office or other outpatient visit, 40-54 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 83501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759776107View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YAL
Nurse PractitionerAL
Thoracic SurgeryCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What identifier follows DR. MICHAEL J BALDECK (D.O.) across health systems?
The NPI 1669428967 uniquely identifies DR. MICHAEL J BALDECK (D.O.) in U.S. healthcare data.
Should I treat DR. MICHAEL J BALDECK (D.O.) as an active provider?
Patients and plans typically see DR. MICHAEL J BALDECK (D.O.) as active in the national extract.
What type of care does DR. MICHAEL J BALDECK (D.O.) provide?
DR. MICHAEL J BALDECK (D.O.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MICHAEL J BALDECK (D.O.)?
DR. MICHAEL J BALDECK (D.O.) shows a connection to Lewiston, Idaho in registry-derived data.
Can I export DR. MICHAEL J BALDECK (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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