ERICA NICOLE BALYSH D.O.
NPI 1023377645
Family Medicine in Warren, MI
About Erica Nicole Balysh D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA NICOLE BALYSH D.O. (NPI 1023377645) is an individual family medicine provider in Warren, Michigan, licensed in Michigan (5101019770) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Michigan State University College Of Human Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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
Erica Nicole Balysh D.o. 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Erica Balysh's NPI number?
The NPI number for Erica Balysh is 1023377645. It was assigned to this individual provider in the NPPES registry on May 16, 2012.
Where is Erica Balysh located?
Erica Balysh practices at 27450 Schoenherr Rd Ste. 400, Warren, MI 48088. The listed phone number is (586) 582-7550.
What is Erica Balysh's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Erica Balysh enrolled in Medicare?
Yes. Erica Balysh 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 Erica Balysh accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Erica Balysh 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 Erica Balysh affiliated with any hospitals?
According to CMS data, Erica Balysh is affiliated with Beaumont Hospital Royal Oak and Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Erica Balysh was last updated on December 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.
