2026 NPPES data Physician Assistant NPI 1497184279 PA-C
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KATIE BALDERAS, PA-C

Physician Assistant in MILWAUKEE, Wisconsin. 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
402
Medicare Part D claims · 90 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$36.73
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KATIE BALDERAS, PA-C is a Physician Assistant ([object Object]) practicing in MILWAUKEE, Wisconsin with a Medicare Part D prescribing footprint of 402 claims across 90 beneficiaries — 11% brand-name prescribing . Industry payments of $36.73 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KATIE BALDERAS, PA-C filed 402 Medicare Part D claims in 2023 across MILWAUKEE, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KATIE BALDERAS, PA-C at a glance

Quality data not reported

NPI registry status

Active

Issued 11/02/2013

NPI 1497184279

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

402 49% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Wisconsin

How Physician Assistant compares to other specialties among Wisconsin providers

Wisconsin providers

Physician Assistant share within Wisconsin

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

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).

KATIE BALDERAS, PA-C is a Physician Assistant provider practicing in MILWAUKEE, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1497184279. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KATIE BALDERAS, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI, 53215, with a listed phone of (414) 908-6506. NPI 1497184279 was issued on 11/02/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALDERAS 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 402 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $55K in drug spend, split 11% brand-name and 89% 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215

Provider Details

NPI 1497184279
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 11/02/2013

Hospital and facility affiliations

Facilities where KATIE BALDERAS, PA-C 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.

GASTROENTEROLOGY SPECIALISTS SC
WAUWATOSA, WI
GI ASSOCIATES LLC
WAUWATOSA, WI
MILWAUKEE GI SPECIALISTS SC
WAUWATOSA, WI

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 KATIE BALDERAS, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$37

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

KATIE BALDERAS, PA-C — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 402 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.

402
Total Claims
$55K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
744
Total Day Supply
21,912
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$42K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
5.78
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Midodrine Hcl
43
Bumetanide
31
Amlodipine Besylate
24
Doxazosin Mesylate
22
Carvedilol
18
Nifedipine Er
Nifedipine
17
Omeprazole
16
Pantoprazole Sodium
16
Allopurinol
14
Hydralazine Hcl
14

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

Physician Assistant Overview

How KATIE BALDERAS, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

KATIE BALDERAS, PA-C's 402 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Wisconsin

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

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

Frequently Asked Questions

What is KATIE BALDERAS, PA-C's specialty?
KATIE BALDERAS, PA-C specializes in Physician Assistant and practices in MILWAUKEE, Wisconsin. Credentials: PA-C.
How much does KATIE BALDERAS, PA-C prescribe under Medicare Part D?
In 2023, KATIE BALDERAS, PA-C wrote 402 Medicare Part D claims totaling $55K in drug costs for 90 beneficiaries.
Where is KATIE BALDERAS, PA-C located?
KATIE BALDERAS, PA-C is located at 2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI, 53215. Phone: (414) 908-6506.
What is KATIE BALDERAS, PA-C's NPI number?
KATIE BALDERAS, PA-C's National Provider Identifier (NPI) is 1497184279, issued on 11/02/2013.
Does KATIE BALDERAS, PA-C prescribe more brand-name or generic drugs?
KATIE BALDERAS, PA-C's prescribing is 11% brand-name and 89% generic drugs by claim count, with $42K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does KATIE BALDERAS, PA-C prescribe most often?
Based on 2023 Medicare Part D data, KATIE BALDERAS, PA-C's most frequently prescribed drugs include Midodrine Hcl, Bumetanide, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KATIE BALDERAS, PA-C accept Medicare?
KATIE BALDERAS, PA-C appears in CMS Medicare data with 402 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATIE BALDERAS, PA-C's credentials?
KATIE BALDERAS, PA-C's NPI is 1497184279 with credentials PA-C. 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.
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