DR. JUAN DIEGO BALTODANO (M.D.) – Gastroenterology Physician, NPI 1861665945
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
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Provider Addresses for DR. JUAN DIEGO BALTODANO (M.D.)
Staples Mill Road, Richmond, Richmond City, Virginia, 23230, United States
SUITE 200
RICHMOND, VA 232302909
Phone: (804) 285-8206
Fax: (804) 285-8332
Type: Mailing
201, Wadsworth Drive, Penn Acres, Chesterfield County, Virginia, 23235, United States
NORTH CHESTERFIELD, VA 232364510
Phone: (804) 289-1131
Fax: (804) 320-3102
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 180 Open Payments records for all available years, with a total value of $3,932.
Total Amount is formed as General ($3,932) + Research ($0) + Ownership ($0) = $3,932.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,510).
Total Amount
$3,932
General + Research + Ownership
Payments
180
Total payment records
General Amount
$3,932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,510 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $542 |
| Janssen Biotech, Inc. | $311 |
| GENZYME CORPORATION | $284 |
| CONMED Corporation | $143 |
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: 2013-04-08
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 |
|---|---|---|---|---|
| I20130408000117 | I | Gastroenterology | VA | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 123 | 123 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 101 | 97 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | 37 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 44 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 36 | $0 |
Insurance plans in this area (ZIP 23230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | VA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 35 | 31 |
| GASTROENTEROLOGY | VA | 45378 | Diagnostic examination of large bowel using an endoscope | 50 | 49 |
| GASTROENTEROLOGY | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 68 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | VA | |
| Physician Assistant | VA | |
| G A S T R O E N T E R O L O G Y | SC | |
| G A S T R O E N T E R O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Gastroenterology, Internal Medicine | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| - | VA | |
| G A S T R O E N T E R O L O G Y | VA |
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