ANDREW H BALDER (MD) – Internal Medicine Physician, NPI 1720188832

ANDREW H BALDER (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 60192 (MA). The NPI Number for ANDREW H BALDER (MD) is 1720188832

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW H BALDER (MD)
NPI
1720188832
Phone
(413) 794-5700
Address
280 CHESTNUT STREET
Enumeration Date
25 September 2006
Last Update Date
18 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
9032152871
Group Practice PAC ID
8921018540
Professional Enrollment ID
I20050602001109
Address ID
MA011050000SP311XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for ANDREW H BALDER (MD)

  • 280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    2ND FLOOR

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    Type: Mailing

  • 11, Wilbraham Road, McKnight and Bay, Springfield, Hampden County, Massachusetts, 01109, United States

    SPRINGFIELD, MA 011093161

    Phone: (413) 794-3710

    Fax: (413) 794-9595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Abbott Laboratories ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$50
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: 2005-06-02

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
I20050602001109IInternal MedicineMATBD

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 minutes9854$0
99213Established patient office or other outpatient visit, 20-29 minutes3326$0
36415Insertion of needle into vein for collection of blood sample1711$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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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: 8921018540View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerCT

Reviews

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Frequently asked questions

How do I look up ANDREW H BALDER (MD) by NPI?
Use NPI 1720188832 when you need to reference ANDREW H BALDER (MD) in forms, claims, or directories.
Does this profile mean ANDREW H BALDER (MD) is currently active?
Yes — ANDREW H BALDER (MD) appears active in the national provider directory.
Can you summarize ANDREW H BALDER (MD)'s specialty in plain language?
Clinically, the directory lists ANDREW H BALDER (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREW H BALDER (MD)?
The page summarizes Springfield, Massachusetts for ANDREW H BALDER (MD); expand the address list for detail.
What if Springfield, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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