2026 NPPES data Pediatric Cardiology Physician NPI 1386616605 M.D.
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SCOTT BALDERSTON, M.D.

Pediatric Cardiology Physician in PORTSMOUTH, 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.

What the federal data shows

SCOTT BALDERSTON, M.D. is a Pediatric Cardiology Physician in PORTSMOUTH, Virginia, listed in the federal CMS National Provider Identifier registry.

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.

Board-eligible specialty (heuristic — not verified)

SCOTT BALDERSTON, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SCOTT BALDERSTON, M.D.?

Quality data not reported

NPI registry status

Active

Issued 02/02/2006

NPI 1386616605

Primary specialty

Pediatric Cardiology Physician

Niche

2,529 US NPIs in this specialty

Specialty distribution in Virginia

How Pediatric Cardiology Physician compares to other specialties among Virginia providers

Virginia providers

Pediatric Cardiology Physician share within Virginia

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Pediatric Cardiology Physician) — 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).

SCOTT BALDERSTON, M.D. appears in the CMS NPPES registry as a Pediatric Cardiology Physician provider holding M.D. credentials at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA, 23708, with a listed phone of (757) 953-7550. NPI 1386616605 was issued on 02/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALDERSTON 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Cardiology Physician providers operate outside Part D entirely.

Pediatric Cardiology Physician is a narrow specialty nationwide, with 2,529 enrolled providers across 51 states and an average of 77 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

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Provider Details

NPI 1386616605
Specialty Pediatric Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 02/02/2006

Pediatric Cardiology Physician Overview

How SCOTT BALDERSTON, M.D. fits within the Pediatric Cardiology Physician landscape nationally.

2,529
Pediatric Cardiology Physician Providers in US
51
States with Pediatric Cardiology Physician
77
Avg Claims per Provider

Nearby Pediatric Cardiology Physician Providers in Virginia

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

Compare Pediatric Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SCOTT BALDERSTON, M.D.'s specialty?
SCOTT BALDERSTON, M.D. specializes in Pediatric Cardiology Physician and practices in PORTSMOUTH, Virginia. Credentials: M.D..
Where is SCOTT BALDERSTON, M.D. located?
SCOTT BALDERSTON, M.D. is located at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA, 23708. Phone: (757) 953-7550.
What is SCOTT BALDERSTON, M.D.'s NPI number?
SCOTT BALDERSTON, M.D.'s National Provider Identifier (NPI) is 1386616605, issued on 02/02/2006.
How many Pediatric Cardiology Physician providers are there in the US?
There are 2,529 Pediatric Cardiology Physician providers across 51 states in the US. The average Pediatric Cardiology Physician provider writes 77 Medicare Part D claims per year.
Does SCOTT BALDERSTON, M.D. accept Medicare?
SCOTT BALDERSTON, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT BALDERSTON, M.D.'s credentials?
SCOTT BALDERSTON, M.D.'s NPI is 1386616605 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.
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