KEITH DOUGLAS BALDERSTON (MD) – Maternal & Fetal Medicine Physician, NPI 1871525337
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
632 OBSTETRICS/GYNECOLOGY in OR
Provider Addresses for KEITH DOUGLAS BALDERSTON (MD)
400 9th St
Florence, OR 974397398
Phone: (541) 997-8412
Fax: (541) 902-1320
Type: Location
340 9th St
Florence, OR 974399470
Phone: (541) 902-1634
Fax: (541) 902-9702
Type: Location
333 N 1st St Ste 150
Boise, ID 837026135
Phone: (208) 381-3088
Type: Location
550, Gage Boulevard, Tri-Cities, Benton County, Washington, 99352, United States
STE 101
RICHLAND, WA 993529532
Phone: (541) 485-2777
Fax: (541) 246-2353
Type: Mailing
3355, Riverbend Drive, Springfield, Lane County, Oregon, 97477, United States
STE 210
SPRINGFIELD, OR 974778800
Phone: (541) 485-2777
Fax: (541) 246-2353
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $15 |
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: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20081007000659 | I | Obstetrics/Gynecology | OR | TBD |
| I20160309000834 | I | Obstetrics/Gynecology | MT | TBD |
| I20171020001624 | I | Obstetrics/Gynecology | ID | TBD |
| I20181002000349 | I | Obstetrics/Gynecology | AL | TBD |
| I20190401001288 | I | Obstetrics/Gynecology | WA | TBD |
| I20210423001466 | I | Obstetrics/Gynecology | SD | 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 97439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Certified Nurse Midwife (Cnm) | OR | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR |
Reviews
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