BYRON DAVID BALDRIDGE (MD) – Dermatology Physician, NPI 1720073596

BYRON DAVID BALDRIDGE (MD) is a healthcare provider. based in Great falls, Montana. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 4902 (MT). The NPI Number for BYRON DAVID BALDRIDGE (MD) is 1720073596

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
BYRON DAVID BALDRIDGE (MD)
NPI
1720073596
Phone
(406) 727-1131
Address
2300 12TH AVE S
Enumeration Date
16 September 2005
Last Update Date
20 February 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4064437200
Graduation Year
1979 (47 years ago)
PAC ID
7810038429
Group Practice PAC ID
2668364704
Professional Enrollment ID
I20100105000230
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BYRON DAVID BALDRIDGE (MD)

  • 2300, 12th Avenue South, Great Falls, Cascade County, Montana, 59405, United States

    SUITE 101

    GREAT FALLS, MT 594055017

    Phone: (406) 727-1131

    Fax: (406) 727-0234

    Type: Mailing

  • 2300 12th Ave S

    Suite 101

    Great Falls, MT 594055017

    Phone: (406) 727-1131

    Fax: (406) 727-0234

    Type: Location

  • 1 MEDICAL PARK DR # 201B

    HELENA, MT 596018022

    Phone: (406) 443-7200

    Fax: (406) 443-7201

    Type: Location

  • 7300 RANCH ROAD 2222

    BUILDING 1, STE 200

    AUSTIN, TX 78730

    Phone: (512) 628-0465

    Fax: (512) 628-0468

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($19).

Total Amount

$46

General + Research + Ownership

Payments

3

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

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: 2010-01-05

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
I20100105000230IDermatologyMTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes419306$0
17003Destruction of precancer skin growth, 2-14 growths376117$0
17000Destruction of precancer skin growth, 1 growth227196$0
11102Biopsy of related skin growth, first growth157141$0
99212Established patient office or other outpatient visit, 10-19 minutes146130$0
View full utilization report →

Insurance plans in this area (ZIP 59405)

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Provider's Procedures

BYRON DAVID BALDRIDGE (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMT11101Biopsy of each additional growth of skin and/or tissue171117

Reviews

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Frequently asked questions

Is BYRON DAVID BALDRIDGE (MD) listed with a National Provider Identifier?
Yes — BYRON DAVID BALDRIDGE (MD) has NPI 1720073596 on file in the registry.
Is BYRON DAVID BALDRIDGE (MD) shown as active in public data?
Registry records indicate BYRON DAVID BALDRIDGE (MD) maintains an active NPI.
How would a patient describe BYRON DAVID BALDRIDGE (MD)'s focus?
For BYRON DAVID BALDRIDGE (MD), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BYRON DAVID BALDRIDGE (MD)?
Directory geography for BYRON DAVID BALDRIDGE (MD) centers on Great Falls, Montana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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