Dagoberto Balderas, D.O.
NPI 1699835843 · Family Medicine Physician · Austin, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dagoberto Balderas, D.O. is a Family Medicine Physician provider in Austin, TX (NPI 1699835843).
Provider details
- NPI number
- 1699835843
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- BP10027209 (TX)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
668 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 | 242 | $126 |
| 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 | 91 | $16 |
| Automated Urinalysis Test81003 | 50 | $2 |
| Urine Microalbumin (protein) Level82043 | 37 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 34 | $84 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 95 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 252 | 96 |
| Rosuvastatin Calcium | 182 | 62 |
| Losartan Potassium | 147 | 52 |
| Lisinopril | 134 | 45 |
| Levothyroxine Sodium | 127 | 44 |
| Gabapentin | 114 | 40 |
| Amlodipine Besylate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,594 across 180 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
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2016-09-20
Frequently asked questions
- What is Dagoberto Balderas's NPI number?
- Dagoberto Balderas's National Provider Identifier (NPI) is 1699835843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dagoberto Balderas's specialty?
- Dagoberto Balderas is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dagoberto Balderas located?
- Dagoberto Balderas's practice location on file with NPPES is 5424 W Highway 290, Austin, TX 78735-8827.
- What is Dagoberto Balderas's phone number?
- The practice phone number listed in the NPPES registry for Dagoberto Balderas is (512) 643-4400.
- Does Dagoberto Balderas accept Medicare?
- Dagoberto Balderas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dagoberto Balderas's NPI active?
- Yes — Dagoberto Balderas's NPI (1699835843) is active in the NPPES registry as of the last update on 2016-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.