REBECCA R. BALAJ MD
NPI 1023001989
Pathology - Anatomic Pathology & Clinical Pathology in Dayton, OH

Q: What is Rebecca Balaj's NPI number?

The NPI number for Rebecca Balaj is 1023001989. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Rebecca Balaj's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Balaj was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment

99.74/100

CMS Quality Rating

1 WYOMING ST, DAYTON, OH 45409(937) 208-2978(937) 208-6137 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Rebecca R. Balaj Md NPPES

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

REBECCA R. BALAJ MD (NPI 1023001989) is an individual anatomic pathology & clinical pathology provider in Dayton, Ohio, licensed in Ohio (35.063588) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1991).

NPPES Registry Identity

NPI1023001989

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameREBECCA R. BALAJCredential: MD

Location Address1 WYOMING STDayton, OH 45409-2722

Mailing AddressPo Box 20452Columbus, OH 43220-0452 · (614) 457-8180 · Fax (614) 583-3300

Phone(937) 208-2978

Fax(937) 208-6137

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1991

Enumeration DateAugust 25, 2005

Last NPPES UpdateJanuary 17, 2023

NPPES CertifiedJanuary 17, 2023

✔ NPI 1023001989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in OH · 35.063588

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1 WYOMING ST, Dayton, OH 45409

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Other Identifiers 1

Medicaid0307037OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Paramount.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca R. Balaj Md 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 ID7113811183

PECOS Enrollment IDI20070827000008

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 Reassignments

Medicare enrollment records show Rebecca Balaj reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Pathologists, Inc.

1.0 mi

Anatomic Pathology & Clinical Pathology

1 WYOMING STREET, MIAMI VALLEY HOSPITAL PATHOLOGY DEPT
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
11 clinicians in this Medicare group

NPI 1992798854 (937) 208-2978

Digestive Specialists Inc

6.8 mi

Gastroenterology

3359 KEMP RD
Beavercreek, OH 45431

Reassigned Medicare billing, Ohio enrollment
36 clinicians in this Medicare group

NPI 1174761571 (937) 293-4424

Challa Ajit, M.D. LLC

26 mi

Gastroenterology

2355 DERR RD
Springfield, OH 45503

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Challa Ajit MD LLC
15 clinicians in this Medicare group

NPI 1629142815 (937) 568-7070

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

Areas of Expertise CMS Part B claims 19

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.

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

1,525 services176 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

650 services364 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

501 services257 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

246 services115 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

183 services93 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

86 services51 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

69 services59 patients

Platelet aggregation function test 85576

A platelet aggregation function test is a blood test that measures how well your platelets clump together to form blood clots. This is crucial to prevent excessive bleeding. The test helps in diagnosing disorders related to platelet function.

66 services57 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

65 services63 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

34 services23 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

33 services31 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

27 services16 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

26 services19 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

24 services16 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

20 services20 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

18 services16 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

16 services15 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

15 services15 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360076

LocationOne Medical Center DriveFranklin, OH 45005 · Warren County

Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.14

Improvement Activities

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.

DANIEL NGUYEN

Student in an Organized Health Care Education/Training Program

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3882

KATHY WAYMIRE CRNA

Nurse Anesthetist, Certified Registered

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (800) 394-4445

DR. RORY JON PEPPARD M.D.

Pediatrics (Neonatal-Perinatal Medicine)

1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409

Montgomery County (937) 208-2907

DR. DANIEL PHILLIP PITSTICK D.O.

Emergency Medicine

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3356

DR. WILLIAM R. MARRIOTT M.D.

Emergency Medicine

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (513) 281-4400

MIAMI VALLEY HOSPITAL

Psychiatric Unit

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-8000

LEILA CONSTANCE TOU

Student in an Organized Health Care Education/Training Program

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-2866

DR. JARED COTTINGIM RPH

Pharmacist

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3195

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 Rebecca Balaj's NPI number?

The NPI number for Rebecca Balaj is 1023001989. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Rebecca Balaj located?

Rebecca Balaj practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-2978.

What is Rebecca Balaj's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Rebecca Balaj enrolled in Medicare?

Yes. Rebecca Balaj 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.

Which organizations bill Medicare for Rebecca Balaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Balaj reassigns Medicare benefits to 3 organizations: Valley Pathologists, Inc. (Dayton, OH), Digestive Specialists Inc (Beavercreek, OH) and Challa Ajit, M.D. LLC (Springfield, OH). Each 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 Rebecca Balaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Balaj accept?

Health plans from CareSource and Paramount list Rebecca Balaj 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 Rebecca Balaj affiliated with any hospitals?

According to CMS data, Rebecca Balaj is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Rebecca Balaj was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.