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DR. HERBERTH BALSELLS D.O.
NPI 1013216571
Emergency Medicine in Mount Kisco, NY

Active since March 23, 2011PECOS Enrolled
400 E MAIN ST, MOUNT KISCO, NY 10549(914) 666-1254 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Herberth Balsells D.o. NPPES

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

DR. HERBERTH BALSELLS D.O. (NPI 1013216571) is an individual emergency medicine provider in Mount Kisco, New York, licensed in New York (262276) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013216571
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. HERBERTH BALSELLSCredential: D.O.
Location Address400 E MAIN STMount Kisco, NY 10549-3417
Mailing Address400 E Main StMount Kisco, NY 10549-3417
Phone(914) 666-1254
Sole ProprietorNo
Enumeration DateMarch 23, 2011
Last NPPES UpdateNovember 5, 2015
✔ NPI 1013216571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 262276
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 262276 (NY)
400 E MAIN ST, Mount Kisco, NY 10549
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herberth Balsells D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
129 services128 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
63 services63 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
31 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. MICHAEL ARLIA MD
Anesthesiology
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO, NY 10549
Westchester County (914) 666-1691
SABINA MUSOVIC SEFOVIC MD
Anesthesiology (Critical Care Medicine)
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1200
DR. ANDREW MONIK MOGGA MD
Student in an Organized Health Care Education/Training Program
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1931
MAZEN T KHALIFEH MD
Pediatrics (Neonatal-Perinatal Medicine)
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO, NY 10549
Westchester County (914) 666-1862
NANDINI ANANDU MD
Internal Medicine
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL
MOUNT KISCO, NY 10549
Westchester County (914) 666-1200
ANISHA DUVVI
Student in an Organized Health Care Education/Training Program
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (914) 666-1931
KAREN S ARTHUR MD
Surgery
400 E MAIN ST, NWH NORTH BUILDING 1ST FLOOR
MOUNT KISCO, NY 10549
Westchester County (914) 242-7640
UROGYNECOLOGY AND PELVIC SURGERY, PLLC
Obstetrics & Gynecology
400 E MAIN ST
MOUNT KISCO, NY 10549
Westchester County (203) 391-6620

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 Herberth Balsells's NPI number?

The NPI number for Herberth Balsells is 1013216571. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Herberth Balsells located?

Herberth Balsells practices at 400 E Main St, Mount Kisco, NY 10549. The listed phone number is (914) 666-1254.

What is Herberth Balsells's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Herberth Balsells enrolled in Medicare?

Yes. Herberth Balsells is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Herberth Balsells was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.