JOHN E BALMER JR. D.O.
NPI 1104912476
Family Medicine in Spartansburg, PA
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show John Balmer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Corry, PA 16407
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1841268877 (Pennsylvania)
- 9 clinicians in this Medicare group
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 clinicians in this Medicare group
Franklin, PA 16323
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, PAUpmc Hamot
Acute Care Hospitals · Erie, PAMeadville Medical Center
Acute Care Hospitals · Meadville, PALecom Health Corry Memorial Hospital
Critical Access Hospitals · Corry, PATitusville Area Hospital
Critical Access Hospitals · Titusville, PAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for John Balmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Balmer reassigns Medicare benefits to 3 organizations: Corry Memorial Hospital Association (Corry, PA), Regional Health Services Inc (Erie, PA) and University Of Pittsburgh Physicians (Franklin, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Balmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Balmer accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John Balmer 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 John Balmer affiliated with any hospitals?
According to CMS data, John Balmer is affiliated with Saint Vincent Hospital, Upmc Hamot, Meadville Medical Center, 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 14 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.
# John E Balmer Jr., D.O. · NPI 1104912476
Family Medicine physician in Spartansburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1104912476 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS007522L (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 132 MECHANIC ST, Spartansburg, PA 16434-0211
- **Phone:** (814) 654-7334 · **Fax:** (814) 654-7553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Corry Memorial Hospital Association (NPI 1255788014, Corry, PA); Regional Health Services Inc (NPI 1174520654, Erie, PA); University Of Pittsburgh Physicians (NPI 1619381456, Franklin, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 1990
## Record status
- **NPPES last updated:** August 13, 2012
- **Other identifiers:** Medicaid 001511070 (PA); Other 104643 (AL); Medicare UPIN F64313 (PA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104912476) · Data from the CMS NPPES public registry.