JOHN E BALMER JR. D.O.
NPI 1104912476
Family Medicine in Spartansburg, PA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
132 MECHANIC ST, SPARTANSBURG, PA 16434(814) 654-7334(814) 654-7553 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John E Balmer Jr. D.o. NPPES

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

JOHN E BALMER JR. D.O. (NPI 1104912476) is an individual family medicine provider in Spartansburg, Pennsylvania, licensed in Pennsylvania (OS007522L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1990).

NPPES Registry Identity

NPI1104912476
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN E BALMER JR.Credential: D.O.
Location Address132 MECHANIC STSpartansburg, PA 16434-0211
Mailing AddressPo Box 211Spartansburg, PA 16434-0211 · (814) 654-7334 · Fax (814) 654-7553
Fax(814) 654-7553
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1990
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 13, 2012
NPI 1104912476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS007522L
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.
132 MECHANIC ST, Spartansburg, PA 16434

Other Identifiers 4

Medicaid001511070PA
Other104643AL · Unison
Medicare UPINF64313PA
Medicare ID-Type Unspecified108551QSE

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

John E Balmer Jr. 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 ID9032020953
PECOS Enrollment IDI20041206000579
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services75 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services59 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
42 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services33 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390198
Location5515 Peach StreetErie, PA 16509 · Erie County
Emergency services

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Titusville Area Hospital

Critical Access Hospitals · Titusville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391314
Location406 West Oak StreetTitusville, PA 16354 · Crawford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16434 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 7

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
6 suppliers13 claims28 services$6.26 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
2 suppliers14 claims14 services$59.43 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
3 suppliers20 claims20 services$59.29 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier12 claims12 services$814.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims36 services$105.79 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$35.00 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 9

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

Nurse Practitioner (Family)
132 MECHANIC ST
SPARTANSBURG, PA 16434
Family Medicine
132 MECHANIC ST
SPARTANSBURG, PA 16434
Nurse Practitioner
132 MECHANIC ST
SPARTANSBURG, PA 16434
Family Medicine
132 MECHANIC ST, PO BOX 211
SPARTANBURG, PA 16434
Clinic/Center (Rural Health)
132 MECHANIC ST
SPARTANSBURG, PA 16434
Chiropractor
132 MECHANIC ST
SPARTANSBURG, PA 16434
Physician Assistant (Medical)
132 MECHANIC ST
SPARTANSBURG, PA 16434
Nurse Practitioner
132 MECHANIC ST
SPARTANSBURG, PA 16434

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 John Balmer's NPI number?

The NPI number for John Balmer is 1104912476. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is John Balmer located?

John Balmer practices at 132 Mechanic St, Spartansburg, PA 16434. The listed phone number is (814) 654-7334.

What is John Balmer's specialty?

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

Is John Balmer enrolled in Medicare?

Yes. John Balmer 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.

Is John Balmer affiliated with any hospitals?

According to CMS data, John Balmer is affiliated with Saint Vincent Hospital, Upmc Hamot, Millcreek Community Hospital, Lecom Health Corry Memorial Hospital and Titusville Area Hospital.

When was this NPI record last updated?

The NPPES record for John Balmer was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.