NPI registry status
Active
2026 NPPES data Addiction (Substance Use Disorder) Registered Nurse NPI 1316561970 MSN, ARNP, PMHNP-BC
Verify on CMS → Robert Baltes, MSN, ARNP, PMHNP-BC
Addiction (Substance Use Disorder) Registered Nurse in Spencer, Iowa.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,865 in Addiction (Substance Use Disorder) Registered Nurse, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 69 beneficiaries · Addiction (Substance Use Disorder) Registered Nurse avg: 766
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Robert Baltes, MSN, ARNP, PMHNP-BC filed 1,232 Medicare Part D claims in 2024 as an Addiction (Substance Use Disorder) Registered Nurse in Spencer, Iowa, prescribing 94% generic.
- 1K
- Part D claims, 2024
- 94%
- generic prescribing
- ≥78th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Robert Baltes, MSN, ARNP, PMHNP-BC
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1316561970), first enumerated 05/29/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,232 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1316561970 · Addiction (Substance Use Disorder) Registered Nurse
NPI-10 · ENUM-RECENT · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1316561970
- ENUM-RECENT 2020
- TAX-NARROW 2,865
- RX-MID 1,232
- BOOK-THIN 6 in Iowa
- PHOTO-ENUM Nathan Reep, RN · 2020
Robert Baltes, MSN, ARNP, PMHNP-BC's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,232 ≥ 78th percentile 78% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Robert Baltes, MSN, ARNP, PMHNP-BC?
Quality data not reportedPrimary specialty
Addiction (Substance Use Disorder) Registered Nurse
Medicare Part D claims
1,232 61% vs specialty avg
Specialty distribution in Iowa
How Addiction (Substance Use Disorder) Registered Nurse compares to other specialties among Iowa providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Addiction (Substance Use Disorder) Registered Nurse. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1316561970 |
|---|---|
| Specialty | Addiction (Substance Use Disorder) Registered Nurse |
| Credentials | MSN, ARNP, PMHNP-BC |
| Gender | Male |
| NPI Issued | 05/29/2020 |
Hospital and facility affiliations
Facilities where Robert Baltes, MSN, ARNP, PMHNP-BC 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.
Spencer Municipal Hospital
★★★★☆ 4/5
Spencer, IA
Acute Care Hospitals
CMS CCN: 160112
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Robert Baltes, MSN, ARNP, PMHNP-BC - brand share 6.0%
Addiction (Substance Use Disorder) Registered Nurse average
6% brand-name claims vs 94% generic, on 1,232 2024 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 2024.
1,232
Total Claims
$129K
Total Drug Cost
69
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,461.167
- Total Day Supply
- 41,669
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $97K
- Generic Drug Cost
- $31K
Patient Demographics
- Average Patient Age
- 61.0 years
- Avg HCC Risk Score
- 1.15
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 31, 65-74: 34, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Robert Baltes, MSN, ARNP, PMHNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lamotrigine
Lamotrigine
95 claims
- Trazodone Hcl
Trazodone Hcl
92 claims
- Fluoxetine Hcl
Fluoxetine Hcl
75 claims
- Clonazepam
Clonazepam
61 claims
- Buspirone Hcl
Buspirone Hcl
51 claims
- Duloxetine Hcl
Duloxetine Hcl
50 claims
- Desvenlafaxine Suc…
Desvenlafaxine Succinate Er
48 claims
- Lorazepam
Lorazepam
48 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 95 |
| Trazodone Hcl | 92 |
| Fluoxetine Hcl | 75 |
| Clonazepam | 61 |
| Buspirone Hcl | 51 |
| Duloxetine Hcl | 50 |
| Desvenlafaxine Succinate Er Desvenlafaxine Succinate | 48 |
| Lorazepam | 48 |
| Quetiapine Fumarate | 47 |
| Aripiprazole | 42 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction (Substance Use Disorder) Registered Nurse in IA →
All providers in Iowa →
Compare specialties →
Addiction (Substance Use Disorder) Registered Nurse Overview
How Robert Baltes, MSN, ARNP, PMHNP-BC fits within the Addiction (Substance Use Disorder) Registered Nurse landscape nationally.
2,865
Addiction (Substance Use Disorder) Registered Nurse Providers in US
52
States with Addiction (Substance Use Disorder) Registered Nurse
766
Avg Claims per Provider
Robert Baltes, MSN, ARNP, PMHNP-BC's 1,232 claims are above the specialty average of 766.
Nationwide Addiction (Substance Use Disorder) Registered Nurse peers with similar MIPS or enrollment year
Two federal-record peer sets for Baltes, both outside Iowa so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Addiction (Substance Use Disorder) Registered Nurse Providers in Iowa
Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as Baltes.
One of 6 Addiction (Substance Use Disorder) Registered Nurse providers enrolled in Iowa, 5 are shown here.
Frequently Asked Questions
What is Robert Baltes, MSN, ARNP, PMHNP-BC's specialty? ▼
Robert Baltes, MSN, ARNP, PMHNP-BC specializes in Addiction (Substance Use Disorder) Registered Nurse and practices in Spencer, Iowa. Credentials: MSN, ARNP, PMHNP-BC.
How much does Robert Baltes, MSN, ARNP, PMHNP-BC prescribe under Medicare Part D? ▼
In 2024, Robert Baltes, MSN, ARNP, PMHNP-BC wrote 1,232 Medicare Part D claims totaling $129K in drug costs for 69 beneficiaries.
Where is Robert Baltes, MSN, ARNP, PMHNP-BC located? ▼
Robert Baltes, MSN, ARNP, PMHNP-BC is located at 1200 1ST AVE E STE 1, Spencer, IA, 51301. Phone: (515) 364-6198.
What is Robert Baltes, MSN, ARNP, PMHNP-BC's NPI number? ▼
Robert Baltes, MSN, ARNP, PMHNP-BC's National Provider Identifier (NPI) is 1316561970, issued on 05/29/2020.
Does Robert Baltes, MSN, ARNP, PMHNP-BC prescribe more brand-name or generic drugs? ▼
Robert Baltes, MSN, ARNP, PMHNP-BC's prescribing is 6% brand-name and 94% generic drugs by claim count, with $97K in brand drug costs.
How many Addiction (Substance Use Disorder) Registered Nurse providers are there in the US? ▼
There are 2,865 Addiction (Substance Use Disorder) Registered Nurse providers across 52 states in the US. The average Addiction (Substance Use Disorder) Registered Nurse provider writes 766 Medicare Part D claims per year.
What drugs does Robert Baltes, MSN, ARNP, PMHNP-BC prescribe most often? ▼
Based on 2024 Medicare Part D data, Robert Baltes, MSN, ARNP, PMHNP-BC's most frequently prescribed drugs include Lamotrigine, Trazodone Hcl, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Baltes, MSN, ARNP, PMHNP-BC accept Medicare? ▼
Robert Baltes, MSN, ARNP, PMHNP-BC appears in CMS Medicare data with 1,232 Part D claims and 69 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Baltes, MSN, ARNP, PMHNP-BC's credentials? ▼
Robert Baltes, MSN, ARNP, PMHNP-BC's NPI is 1316561970 with credentials MSN, ARNP, PMHNP-BC. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.