John C. Baldinger, M.D.
Ophthalmology Physician · Fairfax, VA
John C. Baldinger, M.D. is an ophthalmology physician with a practice address in Fairfax, Virginia, and NPI 1083761183, issued on Jan 4, 2007. Check the license (Virginia 0101039636, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- John C. Baldinger
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- 0101039636 VA
Self-reported in NPPES; status is on the state search - Practice location
- 3025 Hamaker CT Ste 101, Fairfax, VA 22031
- Phone
- (703) 876-9630
- Enumerated
- Jan 4, 2007
- Record last updated
- May 7, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (703) 876-0163
- Medicaid ID
- 006308902 VA
- Medicare enrollment
- Enrolled (PECOS I20120823000300); accepts Medicare assignment
- Medical or professional school
- Vanderbilt University School Of Medicine, 1980
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 592 in Virginia → Look up another NPI →
Also registered at 3025 Hamaker CT Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- James Mattern, O.D.Optometrist1104973205
- James Powers, O.D.Optometrist1548317555
Verify John C. Baldinger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101039636Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average ophthalmology physician in 2024
29 Medicare Part D claims for 20 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 79% of claims.
Most prescribed
- Prednisolone Acetate23 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 94.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $162.00
3 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- James W Mattern OD, PLLCFairfax, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John C. Baldinger among 592 ophthalmology physician records in Virginia
John C. Baldinger, M.D. is one of 592 ophthalmology physician records with a practice address in Virginia. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 59% of them.
- NPI issued2007 · 59% of these records are older, 32% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1980 · median 2000 among the 381 with a school on file
- Record last updated2012 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Virginia
There are 592 ophthalmology physician records in Virginia.
All 592 in Virginia → Every provider in Fairfax → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Osama Ahmed, MDFairfax, VA 220311629646203
- Naveen Kumar AmbatiFairfax, VA 220311922749829
- Ryan DuongFairfax, VA 220311215687629
- John Essepian, M.D.Fairfax, VA 220311376766816
- Alex Manguikian, M.D., PH.D.Fairfax, VA 220311164657342
- Juliana Park, M.D.Fairfax, VA 220311790864940
- A. Pilkerton, M.D.Fairfax, VA 220311750355905
- Dhruv Sethi, MD, MBA, MPHFairfax, VA 220311609440353
Common questions
What is John C. Baldinger, M.D.'s NPI number?
John C. Baldinger, M.D.'s National Provider Identifier (NPI) is 1083761183, issued on Jan 4, 2007. An NPI identifies a provider in billing; it is not a license.
Where is John C. Baldinger, M.D. located?
The NPPES record lists a practice address at 3025 Hamaker CT Ste 101, Fairfax, VA, 22031. Phone: (703) 876-9630. Providers update this record themselves, so call before visiting.
How can I verify John C. Baldinger, M.D.'s license?
NPPES lists Virginia license number 0101039636, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John C. Baldinger, M.D. prescribe under Medicare Part D?
In 2024, John C. Baldinger, M.D. had 29 Medicare Part D claims for 20 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is John C. Baldinger, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.