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DR. JUAN FABILE BALA III M.D.
NPI 1043434681
Family Medicine in Spokane, WA

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
801 W 5TH AVE STE 416, SPOKANE, WA 99204(509) 838-2531 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Juan Fabile Bala Iii M.d. NPPES

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

DR. JUAN FABILE BALA III M.D. (NPI 1043434681) is an individual family medicine provider in Spokane, Washington, licensed in Washington (MD60097547) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Creighton University School Of Medicine (2006).

NPPES Registry Identity

NPI1043434681
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUAN FABILE BALA IIICredential: M.D.
Location Address801 W 5TH AVE STE 416Spokane, WA 99204-2841
Mailing Address400 E 5th AveSpokane, WA 99202-1334 · (509) 838-2531
Phone(509) 838-2531
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2006
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 16, 2011
✔ NPI 1043434681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60097547
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.
801 W 5TH AVE STE 416, Spokane, WA 99204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Juan Fabile Bala Iii M.d. 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 ID9436204054
PECOS Enrollment IDI20090903000572
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 Juan Bala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
0.9 mi
Internal Medicine
400 E 5TH AVE
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1730687161 (509) 838-2531

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
311 services223 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
154 services154 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services100 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
32 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers24 claims60 services$4.62 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers20 claims20 services$33.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers11 claims46 services$14.81 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers11 claims59 services$15.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers25 claims25 services$50.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers20 claims20 services$16.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Juan Bala's NPI number?

The NPI number for Juan Bala is 1043434681. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Juan Bala located?

Juan Bala practices at 801 W 5th Ave Ste 416, Spokane, WA 99204. The listed phone number is (509) 838-2531.

What is Juan Bala's specialty?

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

Is Juan Bala enrolled in Medicare?

Yes. Juan Bala 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 Juan Bala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Bala reassigns Medicare benefits to Multicare Health System (Spokane, WA). 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 Juan Bala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Bala accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Juan Bala 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 Juan Bala affiliated with any hospitals?

According to CMS data, Juan Bala is affiliated with Deaconess Medical Center, Providence Holy Family Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Juan Bala was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.