MATHEW BALETTE MD
NPI 1215631619
Internal Medicine in Birmingham, AL

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment
625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-2490 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2026, Mar 29, 2023 (2 updates tracked since 2023).

About Mathew Balette Md NPPES

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

MATHEW BALETTE MD (NPI 1215631619) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (MD.49956) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Florida State University College Of Medicine (2023).

NPPES Registry Identity

NPI1215631619
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATHEW BALETTECredential: MD
Location Address625 19TH ST SBirmingham, AL 35233-1900
Mailing Address625 19th St SBirmingham, AL 35233-1900 · (205) 934-2490
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2023
Enumeration DateMarch 29, 2023
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1215631619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.49956
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
625 19TH ST S, Birmingham, AL 35233

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

Mathew Balette 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 ID9638636350
PECOS Enrollment IDI20260812001992
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 Reassignment

Medicare enrollment records show Mathew Balette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
123 BAPTIST WAY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 150 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.

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

Psychiatry & Neurology (Psychiatry)
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Anesthesiology
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
625 19TH ST S
BIRMINGHAM, AL 35233

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 Mathew Balette's NPI number?

The NPI number for Mathew Balette is 1215631619. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Mathew Balette located?

Mathew Balette practices at 625 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-2490.

What is Mathew Balette's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mathew Balette enrolled in Medicare?

Yes. Mathew Balette 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 Mathew Balette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathew Balette reassigns Medicare benefits to Pensacola Hospitalist Physicians, LLC (Pensacola, FL). 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 Mathew Balette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mathew Balette accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mathew Balette 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 Mathew Balette affiliated with any hospitals?

According to CMS data, Mathew Balette is affiliated with Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Mathew Balette was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.