DR. THOMAS BALITSKI OD
NPI 1003814559
Optometrist in Washington, PA

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
400 LOCUST AVE STE 2, WASHINGTON, PA 15301(724) 228-1028(888) 506-6237 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Balitski Od NPPES

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

DR. THOMAS BALITSKI OD (NPI 1003814559) is an individual optometrist in Washington, Pennsylvania, licensed in Pennsylvania (OEG000676) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1991).

NPPES Registry Identity

NPI1003814559
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THOMAS BALITSKICredential: OD
Location Address400 LOCUST AVE STE 2Washington, PA 15301-3397
Mailing Address400 Locust Ave Ste 2Washington, PA 15301-3397 · (724) 228-1028 · Fax (888) 506-6237
Fax(888) 506-6237
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1991
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 5, 2023
NPPES CertifiedJune 4, 2023
NPI 1003814559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG000676
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OEG000676 (PA)
400 LOCUST AVE STE 2, Washington, PA 15301

Other Identifiers 6

Other255641PA · Healthamerica Ind. #
Medicaid0001266939001PA
Other1317065PA · Highmark Grp. #
Other234607PA · Healthamerica Grp. #
OtherBA701466PA · Highmark Ind. #
Other314110PA · Upmc

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

Dr. Thomas Balitski Od 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 ID6305006057
PECOS Enrollment IDI20120404000562
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
42 services42 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Thomas Balitski's NPI number?

The NPI number for Thomas Balitski is 1003814559. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Thomas Balitski located?

Thomas Balitski practices at 400 Locust Ave Ste 2, Washington, PA 15301. The listed phone number is (724) 228-1028.

What is Thomas Balitski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Balitski enrolled in Medicare?

Yes. Thomas Balitski 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 Thomas Balitski accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Thomas Balitski 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.

When was this NPI record last updated?

The NPPES record for Thomas Balitski was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.