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MIRTHA L BALCAZAR M.D.
NPI 1174515969
Family Medicine in Cottonwood, CA

Active since August 17, 2005PECOS Enrolled
20633 GAS POINT RD, COTTONWOOD, CA 96022(530) 347-4867(530) 347-5670 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mirtha L Balcazar M.d. NPPES

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

MIRTHA L BALCAZAR M.D. (NPI 1174515969) is an individual family medicine provider in Cottonwood, California, licensed in California (A44843) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1174515969
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRTHA L BALCAZARCredential: M.D.
Location Address20633 GAS POINT RDCottonwood, CA 96022-9296
Mailing AddressPo Box 496084Redding, CA 96049-6084 · (530) 347-4867 · Fax (530) 347-5670
Phone(530) 347-4867
Fax(530) 347-5670
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 17, 2005
Last NPPES UpdateFebruary 24, 2012
✔ NPI 1174515969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A44843
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.
20633 GAS POINT RD, Cottonwood, CA 96022
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Other Identifiers 3

Medicare ID-Type Unspecified00A448430CA
Medicare UPIND98925CA
Medicaid00A448430CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirtha L Balcazar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618886953
PECOS Enrollment IDI20040924000459
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mirtha Balcazar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hill Country Community Clinic
12 mi
Federally Qualified Health Center (FQHC)
3270 CHURN CREEK RD
Redding, CA 96002
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
NPI 1568338218 (530) 337-6243
Mccloud Healthcare Clinic, Inc.
58 mi
Federally Qualified Health Center (FQHC)
4309 STAGECOACH ROAD
Dunsmuir, CA 96025
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
NPI 1376893420 (530) 235-4138

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 5

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
73 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services44 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
29 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
24 services22 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96022 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 14

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
15 suppliers63 claims150 services$5.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims22 services$0.78 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier17 claims37 services$1.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$47.55 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers16 claims96 services$2.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$14.31 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 6

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

GREGORY R KUSIC M.D.
Family Medicine
20633 GAS POINT RD
COTTONWOOD, CA 96022
Shasta County (530) 347-4867
DR. BERNARD LOUIS CHRISTOPHER PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
20633 GAS POINT RD
COTTONWOOD, CA 96022
Shasta County (530) 949-0831
KELLI LYNNE WHITE PT
Physical Therapist
20633 GAS POINT RD, SUITE J
COTTONWOOD, CA 96022
Shasta County (530) 347-4195
DR. MICHAEL LOUSTALET DC
Chiropractor
20633 GAS POINT RD
COTTONWOOD, CA 96022
Shasta County (530) 347-6407
JASON EARL WHITE PT
Physical Therapist
20633 GAS POINT RD, SUITE J
COTTONWOOD, CA 96022
Shasta County (530) 347-4195
COTTONWOOD MEDICAL GROUP
Family Medicine
20633 GAS POINT RD
COTTONWOOD, CA 96022
Shasta County (530) 347-4867

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 Mirtha Balcazar's NPI number?

The NPI number for Mirtha Balcazar is 1174515969. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Mirtha Balcazar located?

Mirtha Balcazar practices at 20633 Gas Point Rd, Cottonwood, CA 96022. The listed phone number is (530) 347-4867.

What is Mirtha Balcazar's specialty?

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

Is Mirtha Balcazar enrolled in Medicare?

Yes. Mirtha Balcazar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mirtha Balcazar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirtha Balcazar reassigns Medicare benefits to 2 organizations: Hill Country Community Clinic (Redding, CA) and Mccloud Healthcare Clinic, Inc. (Dunsmuir, CA). 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 Mirtha Balcazar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mirtha Balcazar was last updated on February 24, 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.