1. Home
  2. Directory
  3. New York
  4. Buffalo
  5. Pathology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LUCIA LEONDINA BALOS MD
NPI 1205897642
Pathology - Neuropathology in Buffalo, NY

Active since March 28, 2006PECOS Enrolled
96.04/100
CMS Quality Rating
100 HIGH ST, BUFFALO, NY 14203(716) 859-5600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucia Leondina Balos Md NPPES

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

LUCIA LEONDINA BALOS MD (NPI 1205897642) is an individual neuropathology provider in Buffalo, New York, licensed in New York (202249) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (1991).

NPPES Registry Identity

NPI1205897642
Entity TypeIndividualFemale
Primary Taxonomy207ZN0500X
Provider Legal NameLUCIA LEONDINA BALOSCredential: MD
Location Address100 HIGH STBuffalo, NY 14203-1126
Mailing Address100 High StBuffalo, NY 14203-1126 · (716) 859-5600
Phone(716) 859-5600
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1991
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1205897642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZN0500X
License✔ Licensed in NY · 202249
Definition
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.
100 HIGH ST, Buffalo, NY 14203
Open in Google Maps ↗

Other Identifiers 1

Medicaid01903795NY

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

Lucia Leondina Balos 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 ID749234953
PECOS Enrollment IDI20050310000533
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.

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Improvement Activities40
Cost74.28

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.

MS. DENISE MARIE DONAHUE NURSE PRACTITIONER
Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
GENERAL PHYSICIAN SUB II PLLC
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Erie County (716) 859-7607
DR. MATTHEW KYLE MOSER MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 218-1000
MIAN MOHAMMAD HAMMAS MD
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
DR. GUY SHEMESH DUNETZ MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
JILL FRASCO DO
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
THOMAS WILLIAM JORDAN D.O.
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-1993
KIM HUBER
Registered Nurse (Registered Nurse First Assistant)
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-2741

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 Lucia Balos's NPI number?

The NPI number for Lucia Balos is 1205897642. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Lucia Balos located?

Lucia Balos practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 859-5600.

What is Lucia Balos's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Is Lucia Balos enrolled in Medicare?

Yes. Lucia Balos 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 Lucia Balos affiliated with any hospitals?

According to CMS data, Lucia Balos is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Lucia Balos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.