Kristin Baldea, M.D.
NPI 1265660393 · Urology Physician · Sarasota, FL
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Baldea, M.D. is a Urology Physician provider in Sarasota, FL (NPI 1265660393).
Provider details
- NPI number
- 1265660393
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036135350 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
260 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 133 | $99 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 43 | $85 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 38 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $67 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 13 | $149 |
Typical Medicare-allowed amounts for these services range $67–$149 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 90 | 32 |
| Mirabegronbrand: Myrbetriq | 78 | 15 |
| Potassium Citratebrand: Potassium Citrate Er | 64 | 18 |
| Finasteride | 56 | 20 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 56 | 29 |
| Trospium Chloride | 41 | 15 |
| Estradiol | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,685 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2160 S 1st AveMaywood, IL 60153-3328Phone: (708) 216-8152
Registry dates
- Enumerated
- 2009-06-27
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Frequently asked questions
- What is Kristin Baldea's NPI number?
- Kristin Baldea's National Provider Identifier (NPI) is 1265660393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Baldea's specialty?
- Kristin Baldea is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Kristin Baldea located?
- Kristin Baldea's practice location on file with NPPES is 1921 Waldemere St Ste 310, Sarasota, FL 34239-2941.
- What is Kristin Baldea's phone number?
- The practice phone number listed in the NPPES registry for Kristin Baldea is (941) 917-5400.
- Does Kristin Baldea accept Medicare?
- Kristin Baldea is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Baldea's NPI active?
- Yes — Kristin Baldea's NPI (1265660393) is active in the NPPES registry as of the last update on 2026-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.