DR. MICHAEL BALKUNAS MD
NPI 1023095916
Psychiatry & Neurology - Psychiatry in New Britain, CT

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 GRAND ST, ONDREA CHASSE, MEDICAL STAFF OFFICE, NEW BRITAIN, CT 06052(860) 224-5305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Balkunas Md NPPES

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

DR. MICHAEL BALKUNAS MD (NPI 1023095916) is an individual psychiatry provider in New Britain, Connecticut, licensed in Connecticut (042831) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1992).

NPPES Registry Identity

NPI1023095916
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MICHAEL BALKUNASCredential: MD
Location Address100 GRAND ST, ONDREA CHASSE, MEDICAL STAFF OFFICENew Britain, CT 06052-2016
Mailing Address100 Grand StNew Britain, CT 06052-2016 · (860) 224-5305
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1992
Enumeration DateDecember 30, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1023095916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CT · 042831
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 GRAND ST, New Britain, CT 06052

Other Identifiers 1

Medicare UPING28421CT

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. Michael Balkunas 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 ID648223404
PECOS Enrollment IDI20050222000461
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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.

Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Surgical)
100 GRAND ST
NEW BRITAIN, CT 06052
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052

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 Michael Balkunas's NPI number?

The NPI number for Michael Balkunas is 1023095916. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Michael Balkunas located?

Michael Balkunas practices at 100 Grand St Ondrea Chasse, Medical Staff Office, New Britain, CT 06052. The listed phone number is (860) 224-5305.

What is Michael Balkunas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Balkunas enrolled in Medicare?

Yes. Michael Balkunas 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.

When was this NPI record last updated?

The NPPES record for Michael Balkunas was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.