DR. MARCUS W. BALTERS M.D.
NPI 1205940186
Surgery - Vascular Surgery in Omaha, NE
About Dr. Marcus W. Balters M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARCUS W. BALTERS M.D. (NPI 1205940186) is an individual vascular surgery provider in Omaha, Nebraska, licensed in Nebraska (22552) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of University Of Nebraska College Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Dr. Marcus W. Balters M.d. 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 Reassignment
Medicare enrollment records show Marcus Balters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Bergan Mercy
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OMAHA, NE 68131
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 Marcus Balters's NPI number?
The NPI number for Marcus Balters is 1205940186. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is Marcus Balters located?
Marcus Balters practices at 601 N 30th St # 3700, Omaha, NE 68131. The listed phone number is (402) 280-4139.
What is Marcus Balters's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Marcus Balters enrolled in Medicare?
Yes. Marcus Balters 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 organization bills Medicare for Marcus Balters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Balters reassigns Medicare benefits to Alegent Creighton Clinic (Omaha, NE). The 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 Marcus Balters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcus Balters accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Marcus Balters 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 Marcus Balters affiliated with any hospitals?
According to CMS data, Marcus Balters is affiliated with Chi Health Bergan Mercy.
When was this NPI record last updated?
The NPPES record for Marcus Balters was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Marcus W. Balters, M.D. · NPI 1205940186
Vascular Surgery physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1205940186 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 22552 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 N 30TH ST # 3700, Omaha, NE 68131-2137
- **Phone:** (402) 280-4139
## 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:** Alegent Creighton Clinic (NPI 1548287907, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 1996
## Record status
- **NPPES last updated:** October 22, 2010
- **Other identifiers:** Medicare PIN I5707 (IA); Medicare PIN P00309260 (NE); Medicare PIN 41921 (IA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205940186) · Data from the CMS NPPES public registry.