MICHAEL ALAN BALK MD
NPI 1205820024
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5670 PEACHTREE DUNWOODY RD NE, SUITE 880, ATLANTA, GA 30342(404) 256-2525(404) 845-4730 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Alan Balk Md NPPES

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

MICHAEL ALAN BALK MD (NPI 1205820024) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (034533) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1205820024
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL ALAN BALKCredential: MD
Location Address5670 PEACHTREE DUNWOODY RD NE, SUITE 880Atlanta, GA 30342
Mailing Address5670 Peachtree Dunwoody Rd Ne, Suite 880Atlanta, GA 30342-1699 · (404) 256-2525 · Fax (404) 845-4730
Fax(404) 845-4730
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 8, 2005
Last NPPES UpdateMay 17, 2018
NPI 1205820024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 034533
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.
5670 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

Other Identifiers 1

Medicaid000477782DGA

Accepted 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

Michael Alan Balk 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 ID9133216005
PECOS Enrollment IDI20071025000121
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 20

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.

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.
375 services289 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.
355 services343 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.
237 services199 patients
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.
219 services218 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
212 services182 patients
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.
155 services152 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
5670 PEACHTREE DUNWOODY RD NE, SUITE 1100
ATLANTA, GA 30342
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, #1240
ATLANTA, GA 30342
Nurse Practitioner
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Otolaryngology
5670 PEACHTREE DUNWOODY RD NE, SUITE 1280
ATLANTA, GA 30342
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Internal Medicine
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200
ATLANTA, GA 30342
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342

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 Michael Balk's NPI number?

The NPI number for Michael Balk is 1205820024. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Michael Balk located?

Michael Balk practices at 5670 Peachtree Dunwoody Rd NE Suite 880, Atlanta, GA 30342. The listed phone number is (404) 256-2525.

What is Michael Balk's specialty?

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

Is Michael Balk enrolled in Medicare?

Yes. Michael Balk 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 Michael Balk accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael Balk 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 Michael Balk affiliated with any hospitals?

According to CMS data, Michael Balk is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Michael Balk was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.