KIMBERLY L BALASKY D.O.
NPI 1063481489
Family Medicine in Sulligent, AL

Q: What is Kimberly Balasky's NPI number?

The NPI number for Kimberly Balasky is 1063481489. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Kimberly Balasky's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Balasky was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 16, 2006PECOS EnrolledAccepts Medicare Assignment

49494 HIGHWAY 17, SULLIGENT, AL 35586(205) 698-7111(205) 698-0516 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly L Balasky D.o. NPPES

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

KIMBERLY L BALASKY D.O. (NPI 1063481489) is an individual family medicine provider in Sulligent, Alabama, licensed in Alabama (D.O.859) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1063481489

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKIMBERLY L BALASKYCredential: D.O.

Location Address49494 HIGHWAY 17Sulligent, AL 35586-4454

Mailing Address49494 Highway 17Sulligent, AL 35586-4454 · (205) 698-7111 · Fax (256) 698-0516

Phone(205) 698-7111

Fax(205) 698-0516

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMarch 16, 2006

Last NPPES UpdateNovember 18, 2009

✔ NPI 1063481489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AL · D.O.859✔ Licensed in AL · DO859

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.

49494 HIGHWAY 17, Sulligent, AL 35586

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Other Identifiers 5

Medicaid1063481489AL

Medicare UPINI12595AL

Medicaid114077AL

Medicare PIN102I081118AL

OtherE869Mdcr Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, 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

Kimberly L Balasky D.o. 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 ID2163496324

PECOS Enrollment IDI20040823001556

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.

522 services69 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.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35586 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 3

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

7 suppliers29 claims74 services$6.81 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers16 claims23 services$1.09 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$76.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

LAMAR SPECIALTY DIAGNOSTICS

Clinic/Center (Radiology)