LINDSAY BALCENIUK MD
NPI 1164800934
Family Medicine in Webster, NY
About Lindsay Balceniuk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINDSAY BALCENIUK MD (NPI 1164800934) is an individual family medicine provider in Webster, New York, licensed in New York (288935) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2015).
NPPES Registry Identity
Specialties & Licenses
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
Lindsay Balceniuk 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lindsay Balceniuk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richboro, PA 18954
- Reassigned Medicare billing, Pennsylvania enrollment
- 490 clinicians in this Medicare group
Phila, PA 19120
- Reassigned Medicare billing, Pennsylvania enrollment
- 289 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
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 5
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 Lindsay Balceniuk's NPI number?
The NPI number for Lindsay Balceniuk is 1164800934. It was assigned to this individual provider in the NPPES registry on May 13, 2015.
Where is Lindsay Balceniuk located?
Lindsay Balceniuk practices at 55 Barrett Dr Ste 100, Webster, NY 14580. The listed phone number is (585) 758-0750.
What is Lindsay Balceniuk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lindsay Balceniuk enrolled in Medicare?
Yes. Lindsay Balceniuk 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 Lindsay Balceniuk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lindsay Balceniuk reassigns Medicare benefits to 2 organizations: Aria Health Physician Services (Richboro, PA) and Einstein Community Health Associates, Inc (Phila, 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 Lindsay Balceniuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lindsay Balceniuk accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lindsay Balceniuk 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.
When was this NPI record last updated?
The NPPES record for Lindsay Balceniuk was last updated on June 30, 2023. 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.
# Lindsay Balceniuk, MD · NPI 1164800934
Family Medicine physician in Webster, New York. Individual provider, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1164800934 (Entity type: Individual)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 288935 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 BARRETT DR STE 100, Webster, NY 14580
- **Phone:** (585) 758-0750 · **Fax:** (585) 872-0876
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Aria Health Physician Services (NPI 1750949806, Richboro, PA); Einstein Community Health Associates, Inc (NPI 1558316109, Phila, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2015
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164800934) · Data from the CMS NPPES public registry.