CLAUDIA M. BALTA P.A.
NPI 1003153636
Physician Assistant in Red Oak, IA

Active since January 16, 2013PECOS EnrolledAccepts Medicare Assignment
1400 SENATE AVE, STE. 105, RED OAK, IA 51566(712) 623-7250(712) 623-7257 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Claudia M. Balta P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAUDIA M. BALTA P.A. (NPI 1003153636) is an individual physician assistant in Red Oak, Iowa, licensed in Iowa (002362) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Montgomery County Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003153636
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLAUDIA M. BALTACredential: P.A.
Location Address1400 SENATE AVE, STE. 105Red Oak, IA 51566-1271
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (712) 623-7250 · Fax (712) 623-7257
Fax(712) 623-7257
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 16, 2013
Last NPPES UpdateJune 9, 2014
NPI 1003153636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IA · 002362
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1400 SENATE AVE, Red Oak, IA 51566

Other Identifiers 2

Medicare PIN719900002IA
Medicaid47068731710NE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Claudia M. Balta P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840435301
PECOS Enrollment IDI20130404000127
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161363
Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers38 claims66 services$4.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims18 services$0.94 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier18 claims18 services$46.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1400 SENATE AVE, STE. 105
RED OAK, IA 51566
Pharmacist
1400 SENATE AVE, SUITE 104
RED OAK, IA 51566
Nurse Practitioner
1400 SENATE AVE, SUITE 108
RED OAK, IA 51566
Obstetrics & Gynecology
1400 SENATE AVE, SUITE 102
RED OAK, IA 51566
Internal Medicine (Geriatric Medicine)
1400 SENATE AVE, STE 108
RED OAK, IA 51566
Physical Therapist
1400 SENATE AVE
RED OAK, IA 51566
Surgery
1400 SENATE AVE, SUITE 103
RED OAK, IA 51566
Physician Assistant
1400 SENATE AVE
RED OAK, IA 51566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claudia Balta's NPI number?

The NPI number for Claudia Balta is 1003153636. It was assigned to this individual provider in the NPPES registry on January 16, 2013.

Where is Claudia Balta located?

Claudia Balta practices at 1400 Senate Ave Ste. 105, Red Oak, IA 51566. The listed phone number is (712) 623-7250.

What is Claudia Balta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Claudia Balta enrolled in Medicare?

Yes. Claudia Balta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Claudia Balta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Claudia Balta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Claudia Balta affiliated with any hospitals?

According to CMS data, Claudia Balta is affiliated with Montgomery County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Claudia Balta was last updated on June 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.