Luke Baldelli, MD
NPI 1629567508 · Gastroenterology Physician · Chapel Hill, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luke Baldelli, MD is a Gastroenterology Physician provider in Chapel Hill, NC (NPI 1629567508).
Provider details
- NPI number
- 1629567508
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021-02477 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
102 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 27 | $157 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 22 | $233 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 20 | $100 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 19 | $98 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $122 |
Typical Medicare-allowed amounts for these services range $98–$233 (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 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rifaximinbrand: Xifaxan | 32 | — |
| Carvedilol | 26 | 11 |
| Omeprazole | 26 | 14 |
| Furosemide | 13 | — |
| Plecanatidebrand: Trulance | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$134 across 7 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 (3)
- 291 Sweeten Creek RoadAsheville, NC 28803-1527Phone: (828) 254-0881Fax: (828) 258-1614
- 188 Medical Park DriveSte aBrevard, NC 28712-4188Phone: (828) 883-9600Fax: (828) 774-5469
- 1032 Fleming StreetHendersonville, NC 28791-3532Phone: (828) 696-3099Fax: (828) 696-3868
Registry dates
- Enumerated
- 2018-05-06
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Luke Baldelli's NPI number?
- Luke Baldelli's National Provider Identifier (NPI) is 1629567508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luke Baldelli's specialty?
- Luke Baldelli is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Luke Baldelli located?
- Luke Baldelli's practice location on file with NPPES is 130 Mason Farm Road, Chapel Hill, NC 27599-7080.
- What is Luke Baldelli's phone number?
- The practice phone number listed in the NPPES registry for Luke Baldelli is (984) 974-5050.
- Does Luke Baldelli accept Medicare?
- Luke Baldelli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luke Baldelli's NPI active?
- Yes — Luke Baldelli's NPI (1629567508) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.