Claudia Balderrama, MD - Medicare General Surgery in Baltimore, MD

Claudia Balderrama, MD is a medicare enrolled "Surgery" physician in Baltimore, Maryland. She went to Tufts University School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice St Paul Place Specialists Inc, Prospect Health Access Network Inc and her current practice location is 250 N Calvert St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 332-9528.

Claudia Balderrama is licensed to practice in Maryland (license number D0101291) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740845239.

Contact Information

Claudia Balderrama, MD
250 N Calvert St,
Baltimore, MD 21202-3505
(410) 332-9528
(410) 385-9383

Map and Direction




Physician's Profile

Full NameClaudia Balderrama
GenderFemale
SpecialityGeneral Surgery
Experience6 Years
Location250 N Calvert St, Baltimore, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Claudia Balderrama attended and graduated from Tufts University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1740845239
  • Provider Enumeration Date: 05/09/2019
  • Last Update Date: 08/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264977032
  • Enrollment ID: I20240906001289

Medical Identifiers

Medical identifiers for Claudia Balderrama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740845239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery D0101291 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical Center IncBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Paul Place Specialists Inc7719882943303
Prospect Health Access Network Inc5698065142168

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Claudia Balderrama allows following entities to bill medicare on her behalf.
Entity NameSt Paul Place Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871549196
PECOS PAC ID: 7719882943
Enrollment ID: O20031202000084

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Claudia Balderrama is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Claudia Balderrama, MD
250 N Calvert St,
Baltimore, MD 21202-3505

Ph: (410) 332-9528
Claudia Balderrama, MD
250 N Calvert St,
Baltimore, MD 21202-3505

Ph: (410) 332-9528

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.