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BALU B SHETTY MD
NPI 1033104948
Internal Medicine - Gastroenterology in N Huntingdon, PA

Active since September 16, 2005PECOS Enrolled
78.53/100
CMS Quality Rating
8775 NORWIN AVE, SUITE 113, N HUNTINGDON, PA 15642(724) 864-0503(724) 864-0535 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Balu B Shetty Md NPPES

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

BALU B SHETTY MD (NPI 1033104948) is an individual gastroenterology provider in N Huntingdon, Pennsylvania, licensed in Pennsylvania (MD039618L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033104948
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBALU B SHETTYCredential: MD
Location Address8775 NORWIN AVE, SUITE 113N Huntingdon, PA 15642-2718
Mailing Address585 Rugh StGreensburg, PA 15601-5667 · (724) 838-1534 · Fax (724) 838-1536
Phone(724) 864-0503
Fax(724) 864-0535
Sole ProprietorYes
Enumeration DateSeptember 16, 2005
Last NPPES UpdateOctober 27, 2011
✔ NPI 1033104948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD039618L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8775 NORWIN AVE, N Huntingdon, PA 15642
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Other Identifiers 4

Other469329PA · Bs
Medicare ID-Type UnspecifiedSH469324PA
Medicaid001171343001PA
Medicare UPINE23162

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balu B Shetty 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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.

MARY DEMSKI PHARMD
Pharmacist
8775 NORWIN AVE
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 864-9074
LINDA PFEIFER
Nurse Practitioner
8775 NORWIN AVE, SUITE J
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 834-1463
KEITH SZEKELY
Family Medicine
8775 NORWIN AVE, SUITE 202
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 978-7950
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Preventive Medicine (Occupational Medicine)
8775 NORWIN AVE
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 765-1230
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Family Medicine
8775 NORWIN AVE
NORTH HUNTINGDON, PA 15642
Westmoreland County (855) 765-7277
SARAH SHEARER CRNP
Nurse Practitioner (Primary Care)
8775 NORWIN AVE
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 861-6300
GEOFFREY JOSEPH MD
Surgery
8775 NORWIN AVE, SUITE C
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 765-1163
JEANNETTE PRIMARY CARE
Internal Medicine
8775 NORWIN AVE
IRWIN, PA 15642
Westmoreland County (724) 527-8031

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 Balu Shetty's NPI number?

The NPI number for Balu Shetty is 1033104948. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Balu Shetty located?

Balu Shetty practices at 8775 Norwin Ave Suite 113, N Huntingdon, PA 15642. The listed phone number is (724) 864-0503.

What is Balu Shetty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Balu Shetty enrolled in Medicare?

Yes. Balu Shetty is registered in the Medicare PECOS enrollment system.

What insurance does Balu Shetty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Balu Shetty 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 Balu Shetty was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.