2026 NPPES data Gastroenterology Physician NPI 1861665945 M.D.
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JUAN DIEGO BALTODANO, M.D.

Gastroenterology Physician in NORTH CHESTERFIELD, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
730
Medicare Part D claims · 358 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5657/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$2.3K
97 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUAN DIEGO BALTODANO, M.D. reported a CMS MIPS final score of 84.5657/100 — above the 83.1 national average — and filed 730 Medicare Part D claims in 2023.

84.5657/100
MIPS score · +1 vs avg
730
Part D claims, 2023
80%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JUAN DIEGO BALTODANO, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JUAN DIEGO BALTODANO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JUAN DIEGO BALTODANO, M.D.?

Near national average

NPI registry status

Active

Issued 04/09/2008

NPI 1861665945

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

730 12% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

84.5657/100 1.4657000000000124% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Gastroenterology Physician compares to other specialties among Virginia providers

Virginia providers

Gastroenterology Physician share within Virginia

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Virginia

Medicare quality performance — MIPS

JUAN DIEGO BALTODANO, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
84.5657/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 84.5657/100 vs national avg 83.1

0%100%National avg83%84.6%
MIPS final score (Gastroenterology Physician) — 84.5657/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JUAN DIEGO BALTODANO, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 201 WADSWORTH DR, NORTH CHESTERFIELD, VA, 23236, with a listed phone of (804) 289-1131. NPI 1861665945 was issued on 04/09/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALTODANO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 730 prescription claims written by this provider, covering 358 Medicare beneficiaries and totaling roughly $217K in drug spend, split 20% brand-name and 80% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.5657/100 for the 2023 performance year (Quality 89.6104, Cost 76.4418), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

201 WADSWORTH DR
NORTH CHESTERFIELD, VA 23236

Provider Details

NPI 1861665945
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 04/09/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.5657
Final Score
Avg: 83.1
89.6104
Quality
76.4418
Cost
79
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JUAN DIEGO BALTODANO, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

GASTROINTESTINAL SPECIALISTS LLC
NORTH CHESTERFIELD, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JUAN DIEGO BALTODANO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

JUAN DIEGO BALTODANO, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 730 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

730
Total Claims
$217K
Total Drug Cost
358
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,313
Total Day Supply
32,120
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$182K
Generic Drug Cost
$34K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.11
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JUAN DIEGO BALTODANO, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
180
Omeprazole
73
Creon
Lipase/Protease/Amylase
28
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
20
Linzess
Linaclotide
18
Famotidine
17
Mesalamine
16
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
16
Mesalamine Er
Mesalamine
12
Gavilyte-G
"Peg3350/Sod Sulf
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gastroenterology Physician Overview

How JUAN DIEGO BALTODANO, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

JUAN DIEGO BALTODANO, M.D.'s 730 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as BALTODANO.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUAN DIEGO BALTODANO, M.D.'s specialty?
JUAN DIEGO BALTODANO, M.D. specializes in Gastroenterology Physician and practices in NORTH CHESTERFIELD, Virginia. Credentials: M.D..
How much does JUAN DIEGO BALTODANO, M.D. prescribe under Medicare Part D?
In 2023, JUAN DIEGO BALTODANO, M.D. wrote 730 Medicare Part D claims totaling $217K in drug costs for 358 beneficiaries.
What is JUAN DIEGO BALTODANO, M.D.'s Medicare quality score?
JUAN DIEGO BALTODANO, M.D. has a CMS MIPS Final Score of 84.5657/100 (Quality: 89.6104, Cost: 76.4418). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUAN DIEGO BALTODANO, M.D. located?
JUAN DIEGO BALTODANO, M.D. is located at 201 WADSWORTH DR, NORTH CHESTERFIELD, VA, 23236. Phone: (804) 289-1131.
What is JUAN DIEGO BALTODANO, M.D.'s NPI number?
JUAN DIEGO BALTODANO, M.D.'s National Provider Identifier (NPI) is 1861665945, issued on 04/09/2008.
Does JUAN DIEGO BALTODANO, M.D. prescribe more brand-name or generic drugs?
JUAN DIEGO BALTODANO, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $182K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does JUAN DIEGO BALTODANO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JUAN DIEGO BALTODANO, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Creon. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUAN DIEGO BALTODANO, M.D. accept Medicare?
JUAN DIEGO BALTODANO, M.D. appears in CMS Medicare data with 730 Part D claims and 358 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUAN DIEGO BALTODANO, M.D.'s credentials?
JUAN DIEGO BALTODANO, M.D.'s NPI is 1861665945 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology