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JAMES C BALSERAK MD
NPI 1013952464
Surgery in Tucson, AZ

Active since June 19, 2006PECOS Enrolled
5301 E GRANT RD, TUCSON, AZ 85712(520) 324-5461(520) 795-8620 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James C Balserak Md NPPES

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

JAMES C BALSERAK MD (NPI 1013952464) is an individual surgery provider in Tucson, Arizona, licensed in Arizona (22666) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013952464
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES C BALSERAKCredential: MD
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing Address5301 E Grant RdTucson, AZ 85712-2805 · (520) 324-2308 · Fax (520) 324-1406
Phone(520) 324-5461
Fax(520) 795-8620
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1013952464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 22666
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5301 E GRANT RD, Tucson, AZ 85712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James C Balserak Md 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.

Medicare Billing Reassignment

Medicare enrollment records show James Balserak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc Medical Network
Same address
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

HOLLY JEANNE GRAHAM M.D.
Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pima County (520) 324-5095
SAMANTHA PENN PHARMD
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5122
DR. VICTOR HUGO RUIZ PHARMD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-2516
SARA PETTEY SANDIFER MD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5095
JOSHUA LEE M.D.
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5524
VANESSA LYNN PORTOR RN
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5730
MRS. KRISTY BELONE FNP-C
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5461
LORRAINE Y YENTZER AGACNP
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 327-5461

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 James Balserak's NPI number?

The NPI number for James Balserak is 1013952464. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is James Balserak located?

James Balserak practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 324-5461.

What is James Balserak's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Balserak enrolled in Medicare?

Yes. James Balserak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Balserak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Balserak reassigns Medicare benefits to Tmc Medical Network (Tucson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Balserak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Balserak accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list James Balserak 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 James Balserak was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.