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JOSHUA WILLIAM BALTS
NPI 1104184092
Orthopaedic Surgery in Barron, WI

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
1222 E WOODLAND AVE, BARRON, WI 54812(715) 537-3186 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Mar 17, 2018, Aug 22, 2017 (3 updates tracked since 2017).

About Joshua William Balts NPPES

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

JOSHUA WILLIAM BALTS (NPI 1104184092) is an individual orthopaedic surgery provider in Barron, Wisconsin, licensed in Wisconsin (61103) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1104184092
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSHUA WILLIAM BALTS
Location Address1222 E WOODLAND AVEBarron, WI 54812-1765
Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (715) 838-5222
Phone(715) 537-3186
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1104184092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in WI · 61103✔ Licensed in WI · 61103-20
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1222 E WOODLAND AVE, Barron, WI 54812
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Secondary Practice Location 1

Location 1600 Highland Ave # H4831Madison, WI 53792-0001 · Phone (608) 265-9174

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.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

Joshua William Balts 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 ID7911130471
PECOS Enrollment IDI20170828000561
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.

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521315
Location1222 E Woodland AveBarron, WI 54812 · Barron County
Emergency services

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

Cumberland Memorial Hospital

Critical Access Hospitals · Cumberland, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521353
Location1705 16th AveCumberland, WI 54829 · Barron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54812 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

JANELLE KALEI HERRICK PT
Physical Therapist
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 838-5222
CATHERINE C SODERQUIST MD
Family Medicine
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 537-3166
JAMES L ESSWEIN MD
Family Medicine
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 838-5222
MATTHEW BEIER HANKES PT, ATC
Physical Therapist
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 537-9905
JOHN A CESNIK MD
Family Medicine
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 838-5222
SOPHIE ANN KIEHL
Physical Therapist
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 838-5222
RICHARD R SAMPSON MD
Family Medicine
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 838-5222
ERIC NUEBEL PA-C
Physician Assistant
1222 E WOODLAND AVE
BARRON, WI 54812
Barron County (715) 537-3166

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 Joshua Balts's NPI number?

The NPI number for Joshua Balts is 1104184092. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Joshua Balts located?

Joshua Balts practices at 1222 E Woodland Ave, Barron, WI 54812. The listed phone number is (715) 537-3186.

What is Joshua Balts's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joshua Balts enrolled in Medicare?

Yes. Joshua Balts 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 Joshua Balts accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Joshua Balts 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 Joshua Balts affiliated with any hospitals?

According to CMS data, Joshua Balts is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Chippewa Valley, Mayo Clinic Health System-Northland, Marshfield Medical Center - Ladysmith and Cumberland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Balts was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.