Individual provider Active NPI

John C Baldinger, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
National Provider Identifier
1083761183
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101039636 Issued in VA
Practice address
3025 Hamaker CT Ste 101
Fairfax, VA 22031-2229
Phone
(703) 876-9630
Fax
(703) 876-0163
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101039636 VA Primary

Addresses

Primary practice location

3025 Hamaker CT Ste 101
Fairfax, VA 22031-2229

Mailing address

3025 Hamaker CT Ste 101
Fairfax, VA 22031-2229
Phone (703) 876-9630

Other identifiers 1

IdentifierTypeStateIssuer
006308902MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000300 DC Practitioner - Ophthalmology 1557444171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James W Mattern OD, PLLCGroup PAC ID 6800262833, 6 clinicians

Practice addresses (Care Compare)

3025 Hamaker CT
Suite 101
Fairfax, VA 22031-2229
Phone (703) 876-9630

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
92.86
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101039636VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James W Mattern OD, PLLC Ophthalmology CurrentSince Jun 28, 2022 Accepting new patients

Locations

3025 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 876-9630

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1083761183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312229",
            "telephone_number": "703-876-9630",
            "fax_number": "703-876-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312229",
            "telephone_number": "703-876-9630",
            "fax_number": "703-876-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDINGER",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101039636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006308902",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.