Active NPI 1083761183 Individual Practitioner Male Practitioner

Dr. John C Baldinger , MD

Ophthalmology • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Baldinger, MD is a certified Ophthalmology practicing in Fairfax, VA. With approximately 46 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1980, Dr. Baldinger delivers high-quality medical care to the local community at 3025 HAMAKER CT STE 101.

Dr. Baldinger is affiliated with James W Mattern Od, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, removal of recurring cataract in lens capsule using a laser, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3025 Hamaker Ct Ste 101

Fairfax, VA 220312229

Telephone 7038769630

Fax 7038760163

Associated Practice Facility / Clinic

🏢 Capital Eye Consultants, P.c. Facility NPI 1316094337

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fairfax, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +23.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

27 Specialists

Practicing in Fairfax, VA (619 Statewide)

Telehealth Adoption Rate

3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baldinger (46 Years) 46 Yrs

Fairfax Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	311	181	$1491.58	$490.73
66821 Removal of recurring cataract in lens capsule using a laser	164	118	$500.00	$355.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$220.00	$176.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$164.15	$136.10
92134 Imaging of retina	15	15	$164.00	$43.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	402	242	$1500.00	$533.02
66821 Removal of recurring cataract in lens capsule using a laser	248	180	$506.05	$383.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$220.00	$186.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$164.15	$143.72
92134 Imaging of retina	20	20	$164.00	$46.22
66982 Complex removal of cataract with insertion of prosthetic lens	20	13	$1975.00	$709.77
66174 Dilation of fluid outflow drainage within eye	17	12	$1800.00	$641.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	822	484	$1500.00	$544.48
66821 Removal of recurring cataract in lens capsule using a laser	298	213	$500.00	$390.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$220.00	$191.48
66174 Dilation of fluid outflow drainage within eye	45	31	$1800.00	$823.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$164.15	$146.83
66982 Complex removal of cataract with insertion of prosthetic lens	37	29	$1975.00	$795.72
92004 New patient complete exam of visual system	31	31	$256.00	$175.44
92014 Established patient complete exam of visual system	28	27	$180.00	$148.95
92134 Imaging of retina	14	14	$164.00	$47.64
66984 Removal of cataract with insertion of lens	11	11	$181.51	$100.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	857	503	$1500.00	$557.82
66821 Removal of recurring cataract in lens capsule using a laser	300	218	$500.00	$393.78
0356T Insertion of drug delivery implant into tear ducts	230	138	$125.41	$120.80
92014 Established patient complete exam of visual system	60	60	$180.00	$150.44
92004 New patient complete exam of visual system	55	55	$256.00	$177.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$220.00	$194.99
66982 Complex removal of cataract with insertion of prosthetic lens	36	32	$1975.00	$754.81
66174 Dilation of fluid outflow drainage within eye	31	18	$1800.00	$1039.81
92134 Imaging of retina	25	25	$164.00	$48.75
65820 Incision to improve eye fluid flow	25	18	$1050.00	$465.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$161.54	$145.66
66984 Removal of cataract with insertion of lens	16	16	$376.42	$129.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	712	436	$1500.00	$565.55
66821 Removal of recurring cataract in lens capsule using a laser	301	216	$500.00	$394.96
66982 Complex removal of cataract with insertion of prosthetic lens	115	85	$1975.00	$763.55
92004 New patient complete exam of visual system	82	82	$256.00	$176.67
92014 Established patient complete exam of visual system	78	78	$180.00	$148.85
0191T Internal insertion of eye fluid drainage device	40	26	$1202.80	$373.98
92134 Imaging of retina	25	25	$164.00	$48.26
66174 Dilation of fluid outflow drainage within eye	16	11	$1800.00	$1087.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	948	577	$1500.00	$640.63
66821 Removal of recurring cataract in lens capsule using a laser	322	238	$501.55	$382.03
92004 New patient complete exam of visual system	103	103	$256.00	$172.35
66982 Complex removal of cataract with insertion of prosthetic lens	92	71	$1975.00	$789.96
92014 Established patient complete exam of visual system	74	74	$180.00	$143.55
66984 Removal of cataract with insertion of lens	61	57	$164.78	$49.00
0191T Internal insertion of eye fluid drainage device	53	31	$1202.80	$377.45
0376T Insertion of eye drainage device	51	30	$1500.00	$188.73
92012 Established patient problem focused exam of visual system	20	19	$172.80	$101.64
92134 Imaging of retina	19	19	$164.00	$47.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	860	548	$1500.00	$655.17
66821 Removal of recurring cataract in lens capsule using a laser	202	165	$500.00	$382.47
66982 Complex removal of cataract with insertion of prosthetic lens	102	80	$1975.00	$786.71
92004 New patient complete exam of visual system	74	74	$256.00	$172.28
92014 Established patient complete exam of visual system	63	63	$180.00	$144.69
0191T Internal insertion of eye fluid drainage device	61	37	$1202.80	$916.29
66984 Removal of cataract with insertion of lens	26	25	$161.89	$54.51
0376T Insertion of eye drainage device	23	14	$1500.00	$246.19
92134 Imaging of retina	13	13	$164.00	$47.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	807	506	$1340.89	$619.53
66821 Removal of recurring cataract in lens capsule using a laser	184	151	$500.00	$360.49
66982 Complex removal of cataract with insertion of prosthetic lens	101	79	$1843.07	$786.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$155.00	$115.56
0191T Internal insertion of eye fluid drainage device	51	33	$1199.70	$1141.40
92014 Established patient complete exam of visual system	49	49	$180.00	$136.08
92136 Measurement of corneal curvature and depth of eye	33	33	$368.18	$98.61
66984 Removal of cataract with insertion of lens	29	25	$220.79	$94.40
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$95.00	$79.66
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$55.00	$29.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$220.00	$178.36

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101039636

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

006308902 (VA)

Hospital & Practice Group Affiliations

James W Mattern Od, Pllc

3025 Hamaker Ct, Fairfax, VA 220312229

Phone: 7038769630

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. James Mattern , OD

Optometrist

NPI 1104973205

Doctor of Optometry

Dr. James Powers , OD

Optometrist

NPI 1548317555

Doctor of Optometry

Dr. Randall Wong , MD

Ophthalmology

NPI 1851397988

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 07, 2012

Registered at 3025 HAMAKER CT STE 101, FAIRFAX, VA 220312229 (Tel: 7038769630)

📍

Updated Business Mailing Address May 07, 2012

Registered at 3025 HAMAKER CT STE 101, FAIRFAX, VA 220312229 (Tel: 7038769630)

👤

Provider Name / Credentials Updated May 07, 2012

Recorded as JOHN BALDINGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2012

Ophthalmology (License #0101039636 in VA)

🟢

Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083761183

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2007

Last Update: May 07, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3025 Hamaker Ct Ste 101

Fairfax, VA 220312229

Phone: 7038769630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.