Robert Baldor, M.D.
NPI 1194708859 · Family Medicine Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Robert Baldor, M.D. is a Family Medicine Physician provider in Worcester, MA (NPI 1194708859).
Provider details
- NPI number
- 1194708859
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 53338 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
260 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $65 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 76 | $95 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 50 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 36 | $143 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $131 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Gabapentin | 23 |
| Amlodipine Besylate | 19 |
| Sertraline Hcl | 19 |
| Levothyroxine Sodium | 17 |
| Apixabanbrand: Eliquis | 16 |
| Pantoprazole Sodium | 15 |
| Buspirone Hcl | 13 |
| Pravastatin Sodium | 13 |
| Atorvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-26
- Last updated
- 2009-04-08
Frequently asked questions
- What is Robert Baldor's NPI number?
- Robert Baldor's National Provider Identifier (NPI) is 1194708859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Baldor's specialty?
- Robert Baldor is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Baldor located?
- Robert Baldor's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Robert Baldor's phone number?
- The practice phone number listed in the NPPES registry for Robert Baldor is (508) 856-2818.
- Does Robert Baldor accept Medicare?
- Robert Baldor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Robert Baldor's NPI active?
- Yes — Robert Baldor's NPI (1194708859) is active in the NPPES registry as of the last update on 2009-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.