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DR. BRETT ALLEN BALOCCA OD
NPI 1093060683
Optometrist in Phoenix, AZ

Active since July 19, 2012PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
18631 N 19TH AVE, SUITE 130, PHOENIX, AZ 85027(623) 516-4710 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brett Allen Balocca Od NPPES

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

DR. BRETT ALLEN BALOCCA OD (NPI 1093060683) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (1921) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093060683
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRETT ALLEN BALOCCACredential: OD
Location Address18631 N 19TH AVE, SUITE 130Phoenix, AZ 85027-5299
Mailing Address7071 N 138th AveGlendale, AZ 85307-2006 · (623) 516-4710
Phone(623) 516-4710
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 19, 2012
Last NPPES UpdateFebruary 10, 2020
✔ NPI 1093060683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AZ · 1921✔ Licensed in CO · OPT.0002910
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
18631 N 19TH AVE, Phoenix, AZ 85027
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Brett Allen Balocca Od 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 ID5294978490
PECOS Enrollment IDI20130906000298
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 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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
182 services177 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
147 services136 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
90 services32 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
78 services60 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
69 services56 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
67 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%48 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%128 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

EDWARD A MADRID DC
Chiropractor
18631 N 19TH AVE, SUITE 152
PHOENIX, AZ 85027
Maricopa County (602) 789-1078
BRONSON CHIROPRACTIC CLINIC P.C.
Chiropractor
18631 N 19TH AVE, SUITE 152
PHOENIX, AZ 85027
Maricopa County (602) 789-1078
DR. NAGESH H GIDWANI DDS
Dentist
18631 N 19TH AVE, STE 108
PHOENIX, AZ 85027
Maricopa County (623) 582-8088
DR. JACQUELINE PIERCE O.D.
Optometrist
18631 N 19TH AVE, SUITE 130
PHOENIX, AZ 85027
Maricopa County (623) 516-4710
CHITRA N GIDWANI DDS
Dentist
18631 N 19TH AVE, STE #108
PHOENIX, AZ 85027
Maricopa County (623) 582-8088
SAFEWAY INC
Pharmacy (Community/Retail Pharmacy)
18631 N 19TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 780-1035
CHRISTINA CHOW PHARMD
Pharmacist
18631 N 19TH AVE
PHOENIX, AZ 85027
Maricopa County (623) 780-1035
NATIONWIDE VISION CENTER, LLC
Technician/Technologist (Optician)
18631 N 19TH AVE, SUITE 130
PHOENIX, AZ 85027
Maricopa County (623) 516-4710

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 Brett Balocca's NPI number?

The NPI number for Brett Balocca is 1093060683. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Brett Balocca located?

Brett Balocca practices at 18631 N 19th Ave Suite 130, Phoenix, AZ 85027. The listed phone number is (623) 516-4710.

What is Brett Balocca's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brett Balocca enrolled in Medicare?

Yes. Brett Balocca 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 Brett Balocca accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Brett Balocca 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 Brett Balocca was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.