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THOMAS EDWARD BALINT DO
NPI 1023758828
Family Medicine in Woodruff, SC

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
511 CROSS ANCHOR RD, WOODRUFF, SC 29388(864) 560-5190(864) 560-5195 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Edward Balint Do NPPES

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

THOMAS EDWARD BALINT DO (NPI 1023758828) is an individual family medicine provider in Woodruff, South Carolina, licensed in South Carolina (87716) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1023758828
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS EDWARD BALINTCredential: DO
Location Address511 CROSS ANCHOR RDWoodruff, SC 29388-2328
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-5190
Fax(864) 560-5195
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1023758828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 87716
Definition
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.
511 CROSS ANCHOR RD, Woodruff, SC 29388
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Thomas Edward Balint Do 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 ID6709268824
PECOS Enrollment IDI20250621000230
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 Thomas Balint reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spartanburg Medical Center
Same address
Family Medicine
511 CROSS ANCHOR HWY
Woodruff, SC 29388
  • Reassigned Medicare billing, South Carolina enrollment
  • 193 clinicians in this Medicare group
NPI 1154362994 (864) 278-6031

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

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29388 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

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

DR. GAJANAN RAMNATH SHANBHAG MD
Surgery
511 CROSS ANCHOR RD
WOODRUFF, SC 29388
Spartanburg County (864) 476-8195
DR. PRAMILA GAJANAN SHANBHAG MD
Family Medicine
511 CROSS ANCHOR RD
WOODRUFF, SC 29388
Spartanburg County (864) 476-8195
KATHLEEN HALL NP
Nurse Practitioner (Family)
511 CROSS ANCHOR RD
WOODRUFF, SC 29388
Spartanburg County (864) 278-6031
DR. JAMES MURIEL GRAGG MD
Family Medicine
511 CROSS ANCHOR RD
WOODRUFF, SC 29388
Spartanburg County (864) 278-6031

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 Thomas Balint's NPI number?

The NPI number for Thomas Balint is 1023758828. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Thomas Balint located?

Thomas Balint practices at 511 Cross Anchor Rd, Woodruff, SC 29388. The listed phone number is (864) 560-5190.

What is Thomas Balint's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Balint enrolled in Medicare?

Yes. Thomas Balint 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 organization bills Medicare for Thomas Balint's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Balint reassigns Medicare benefits to Spartanburg Medical Center (Woodruff, SC). 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 Thomas Balint's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Balint accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Thomas Balint 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 Thomas Balint affiliated with any hospitals?

According to CMS data, Thomas Balint is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Balint was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.