DR. PETER A BALOUSEK MD
NPI 1063407716
Neurological Surgery in Renton, WA

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
4033 TALBOT RD S, STE 520, RENTON, WA 98055(425) 690-3586(425) 690-9586 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter A Balousek Md NPPES

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

DR. PETER A BALOUSEK MD (NPI 1063407716) is an individual neurological surgery provider in Renton, Washington, licensed in Washington (MD00035044) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of University Of Michigan Medical School (1990).

NPPES Registry Identity

NPI1063407716
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. PETER A BALOUSEKCredential: MD
Location Address4033 TALBOT RD S, STE 520Renton, WA 98055-5772
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Fax(425) 690-9586
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1990
Enumeration DateSeptember 19, 2005
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
NPI 1063407716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in WA · MD00035044
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

4033 TALBOT RD S, Renton, WA 98055

Other Identifiers 1

Medicaid1001438WA

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

Dr. Peter A Balousek Md 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 ID7911990932
PECOS Enrollment IDI20060911000510
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 2

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.
45 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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.

Physician Assistant (Surgical)
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
Pharmacist
4033 TALBOT RD S
RENTON, WA 98055
Dentist (Orthodontics and Dentofacial Orthopedics)
4033 TALBOT RD S
RENTON, WA 98055
Advanced Practice Midwife
4033 TALBOT RD S, STE 440
RENTON, WA 98055
Pharmacist
4033 TALBOT RD S
RENTON, WA 98055
General Acute Care Hospital
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
Family Medicine (Adult Medicine)
4033 TALBOT RD S, SUITE 570
RENTON, WA 98055
Physician Assistant (Medical)
4033 TALBOT RD S, STE 540
RENTON, WA 98055

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 Peter Balousek's NPI number?

The NPI number for Peter Balousek is 1063407716. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Peter Balousek located?

Peter Balousek practices at 4033 Talbot Rd S Ste 520, Renton, WA 98055. The listed phone number is (425) 690-3586.

What is Peter Balousek's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Peter Balousek enrolled in Medicare?

Yes. Peter Balousek 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 Peter Balousek accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Peter Balousek 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 Peter Balousek affiliated with any hospitals?

According to CMS data, Peter Balousek is affiliated with Swedish Medical Center / Cherry Hill and Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Balousek was last updated on August 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.