DR. JOEL ERIC BALCOM M.D.
NPI 1043469356
Emergency Medicine in Alliance, OH

Q: What is Joel Balcom's NPI number?

The NPI number for Joel Balcom is 1043469356. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Q: What is Joel Balcom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Joel Balcom was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 10, 2008PECOS EnrolledAccepts Medicare Assignment

200 E STATE ST, ALLIANCE, OH 44601(330) 596-6100 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2022, May 4, 2022, Jan 15, 2020 (3 updates tracked since 2020).

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About Dr. Joel Eric Balcom M.d. NPPES

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

DR. JOEL ERIC BALCOM M.D. (NPI 1043469356) is an individual emergency medicine provider in Alliance, Ohio, licensed in Ohio (35.093250) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and maintains a secondary practice location in Massillon.

NPPES Registry Identity

NPI1043469356

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JOEL ERIC BALCOMCredential: M.D.

Location Address200 E STATE STAlliance, OH 44601-4936

Mailing Address3125 Dunbarton Ave NwCanton, OH 44708-1844 · (330) 614-3606

Phone(330) 596-6100

Sole ProprietorYes

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2005

Enumeration DateSeptember 10, 2008

Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration

NPPES CertifiedAugust 25, 2022

✔ NPI 1043469356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OH · 35.093250✔ Licensed in PA · MT188804

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

200 E STATE ST, Alliance, OH 44601

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Secondary Practice Location 1

Location 12021 Wales Ave NWMassillon, OH 44646 · Phone (330) 834-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Joel Eric Balcom 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 ID1658422977

PECOS Enrollment IDI20090626000446

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 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

164 services161 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

65 services65 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

31 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

19 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360040

Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County

Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360084

Location2600 Sixth Street SWCanton, OH 44710 · Stark County

Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360131

Location200 East State StreetAlliance, OH 44601 · Stark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44601 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

TERRI LENIGAR MSN, RN, FNP-C

Nurse Practitioner (Family)