DAVID ABRAHAM BALTAZAR (DO) – Dermatology Physician, NPI 1972038461
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
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Provider Addresses for DAVID ABRAHAM BALTAZAR (DO)
College of Osteopathic Medicine of the Pacific-Northwest, 200, Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States
LEBANON, OR 973553983
Phone:
Type: Mailing
13943 N 91ST AVE STE C101
PEORIA, AZ 853813688
Phone: (623) 972-3992
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 159 Open Payments records for all available years, with a total value of $5,846.
Total Amount is formed as General ($4,125) + Research ($1,720) + Ownership ($0) = $5,846.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($1,720).
Total Amount
$5,846
General + Research + Ownership
Payments
159
Total payment records
General Amount
$4,125
General payments
Research Amount
$1,720
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $1,720 |
| ABBVIE INC. | $925 |
| GENZYME CORPORATION | $475 |
| Janssen Biotech, Inc. | $470 |
| Regeneron Healthcare Solutions, Inc. | $277 |
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: 2023-06-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230620001458 | I | Dermatology | AZ | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 99 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 77 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 72 | 26 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 66 | 62 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 54 | 50 | $0 |
Insurance plans in this area (ZIP 97355)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AZ | |
| Dermatology, Pathology | AZ | |
| P A T H O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| - | AZ | |
| Physician Assistant | AZ |
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