CHRISTOPHER R BALWANZ MD
NPI 1164666095
Internal Medicine - Cardiovascular Disease in Lincoln, NE

Q: What is Christopher Balwanz's NPI number?

The NPI number for Christopher Balwanz is 1164666095. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Q: What is Christopher Balwanz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since April 22, 2009PECOS EnrolledAccepts Medicare Assignment

84.95/100

CMS Quality Rating

1600 S 48TH ST, STE 600, LINCOLN, NE 68506(402) 483-3333(402) 483-3297 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 23, 2020, Apr 10, 2020 (2 updates tracked since 2020).

On this page

About Christopher R Balwanz Md NPPES

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

CHRISTOPHER R BALWANZ MD (NPI 1164666095) is an individual cardiovascular disease provider in Lincoln, Nebraska, licensed in Nebraska (28894) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Clarinda Regional Health Center, and is a graduate of University Of Nebraska College Of Medicine (2009).

NPPES Registry Identity

NPI1164666095

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameCHRISTOPHER R BALWANZCredential: MD

Location Address1600 S 48TH ST, STE 600Lincoln, NE 68506-1275

Mailing AddressPo Box 6607Lincoln, NE 68506-0607 · (402) 483-3333 · Fax (402) 483-3297

Phone(402) 483-3333

Fax(402) 483-3297

Sole ProprietorYes

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2009

Enumeration DateApril 22, 2009

Last NPPES UpdateApril 23, 20202 updates tracked since enumeration

NPPES CertifiedApril 23, 2020

✔ NPI 1164666095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NE · 28894

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1600 S 48TH ST, Lincoln, NE 68506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Christopher R Balwanz Md 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 ID5395994701

PECOS Enrollment IDI20160817000318, I20181106003155

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 34

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

840 services806 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

585 services389 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

460 services319 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

423 services379 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

327 services327 patients

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.

305 services169 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

285 services285 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

208 services208 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

160 services159 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

154 services149 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

121 services119 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

109 services109 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

104 services95 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

104 services98 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

86 services86 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

77 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

74 services47 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

71 services68 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

71 services68 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

59 services59 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

57 services56 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

51 services51 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.

50 services50 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

36 services33 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

35 services23 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

29 services29 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

20 services20 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

15 services15 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

15 services15 patients

Ultrasound of both sides of head and neck blood flow 93880

15 services15 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

13 services13 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

13 services13 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

12 services11 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161352

Location220 Essie Davison DriveClarinda, IA 51632 · Page County

Emergency services

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280003

Location1600 South 48th StLincoln, NE 68506 · Lancaster County

Emergency services Birthing friendly

Annie Jeffrey Memorial County Health Center

Critical Access Hospitals · Osceola, NE

OwnershipGovernment - Local

CMS Certification Number281314

LocationP O Box 428, 531 Beebe StOsceola, NE 68651 · Polk County

Emergency services

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281339

Location300 North Columbia AveSeward, NE 68434 · Seward County

Emergency services

Jennie M Melham Memorial Medical Center

Critical Access Hospitals · Broken Bow, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281365

Location145 Memorial DriveBroken Bow, NE 68822 · Custer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

84.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.78

Promoting Interoperability

100

Improvement Activities

Cost

55.05

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.

JOSEPH L KUMMER M.D.

Internal Medicine (Cardiovascular Disease)

1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506

Lancaster County (402) 483-3333

BRYAN EMPLOYEE SPECIALTY PHARMACY

Pharmacy (Community/Retail Pharmacy)

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-8380

KERSTEN SCHMITT PHARMD

Pharmacist

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (507) 244-1031

JONNA RAE LYNCH DNP, NNP

Nurse Practitioner (Neonatal)

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-7327

CORY LEE DURBIN PHARMD

Pharmacist

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-1111

SCOTT COATSWORTH M.D.

Internal Medicine (Cardiovascular Disease)

1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506

Lancaster County (402) 483-3333

AMANDA KATHLEEN GILMORE PA

Physician Assistant

1600 S 48TH ST, STE 600
LINCOLN, NE 68506

Lancaster County (402) 483-3333

SHELLEE KERSENBROCK

Pharmacist

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-3145

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 Christopher Balwanz's NPI number?

The NPI number for Christopher Balwanz is 1164666095. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Christopher Balwanz located?

Christopher Balwanz practices at 1600 S 48th St Ste 600, Lincoln, NE 68506. The listed phone number is (402) 483-3333.

What is Christopher Balwanz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Christopher Balwanz enrolled in Medicare?

Yes. Christopher Balwanz 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 Christopher Balwanz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Christopher Balwanz 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 Christopher Balwanz affiliated with any hospitals?

According to CMS data, Christopher Balwanz is affiliated with Clarinda Regional Health Center, Bryan Medical Center, Annie Jeffrey Memorial County Health Center, Memorial Health Care Systems and Jennie M Melham Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Christopher Balwanz was last updated on April 23, 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.