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BRIAN BALSAMO PA
NPI 1134845522
Physician Assistant in Rochester, NY

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVENUE WILSON BUILDING, ROCHESTER, NY 14621(585) 922-9003(585) 922-9007 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Balsamo Pa NPPES

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

BRIAN BALSAMO PA (NPI 1134845522) is an individual physician assistant in Rochester, New York, licensed in New York (029061) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134845522
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN BALSAMOCredential: PA
Location Address1425 PORTLAND AVENUE WILSON BUILDINGRochester, NY 14621-2604
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1900
Phone(585) 922-9003
Fax(585) 922-9007
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1134845522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 029061
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1425 PORTLAND AVENUE WILSON BUILDING, Rochester, NY 14621
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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

Brian Balsamo Pa 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 ID5890164974
PECOS Enrollment IDI20221212002742
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

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.

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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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 Brian Balsamo's NPI number?

The NPI number for Brian Balsamo is 1134845522. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Brian Balsamo located?

Brian Balsamo practices at 1425 Portland Avenue Wilson Building, Rochester, NY 14621. The listed phone number is (585) 922-9003.

What is Brian Balsamo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Balsamo enrolled in Medicare?

Yes. Brian Balsamo 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 Brian Balsamo affiliated with any hospitals?

According to CMS data, Brian Balsamo is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Brian Balsamo was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.