DR. RAFAEL BARACALDO (M.D.) – Nephrology Physician, NPI 1013151968
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 NEPHROLOGY in KY
Provider Addresses for DR. RAFAEL BARACALDO (M.D.)
6400 DUTCHMANS PKWY STE 250
LOUISVILLE, KY 402053354
Phone: (502) 587-9660
Fax: (502) 540-5615
Type: Mailing
St. Catherine's Hospital, 401, East Spruce Street, Garden City, Finney County, Kansas, 67846, United States
GARDEN CITY, KS 678465679
Phone: (620) 271-3139
Type: Location
Yosemite Parkway, Garden City, Finney County, Kansas, 67846, United States
GARDEN CITY, KS 678463864
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $1,795.
Total Amount is formed as General ($1,795) + Research ($0) + Ownership ($0) = $1,795.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($338).
Total Amount
$1,795
General + Research + Ownership
Payments
92
Total payment records
General Amount
$1,795
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fresenius USA Marketing, Inc. | $338 |
| Travere Therapeutics, Inc. | $273 |
| Amgen Inc. | $204 |
| AstraZeneca Pharmaceuticals LP | $203 |
| Otsuka America Pharmaceutical, Inc. | $153 |
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: 2021-04-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210107002424 | I | Nephrology | KY | TBD |
| I20210423000480 | I | Nephrology | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 940 | 348 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 207 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 254 | 202 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 168 | 160 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 158 | 34 | $0 |
Insurance plans in this area (ZIP 40205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | KS | 90935 | Hemodialysis procedure with one physician evaluation | 177 | 36 |
| NEPHROLOGY | KS | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 144 | 29 |
| NEPHROLOGY | KS | 90966 | Home dialysis services per month, patient 20 years of age or older | 184 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | KY | |
| Nephrology, Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine, Nephrology | KY | |
| Nurse Practitioner | KY | |
| N E P H R O L O G Y | KY | |
| - | KY | |
| N E P H R O L O G Y | KY |
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