DR. MELINDA BAUTISTA BALARBAR M.D.
NPI 1215960109
Family Medicine in Flower Mound, TX

Q: What is Melinda Balarbar's NPI number?

The NPI number for Melinda Balarbar is 1215960109. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Melinda Balarbar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melinda Balarbar was last updated on April 26, 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

1110 PARKER SQ, FLOWER MOUND, TX 75028(972) 724-1707(972) 724-1407 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Melinda Bautista Balarbar M.d. NPPES

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

DR. MELINDA BAUTISTA BALARBAR M.D. (NPI 1215960109) is an individual family medicine provider in Flower Mound, Texas, licensed in Texas (K9485) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1997).

NPPES Registry Identity

NPI1215960109

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MELINDA BAUTISTA BALARBARCredential: M.D.

Location Address1110 PARKER SQFlower Mound, TX 75028-7432

Mailing Address1110 Parker SqFlower Mound, TX 75028-7432 · (972) 724-1707 · Fax (972) 724-1407

Phone(972) 724-1707

Fax(972) 724-1407

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1997

Enumeration DateJuly 7, 2006

Last NPPES UpdateApril 26, 2012

✔ NPI 1215960109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K9485

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.

1110 PARKER SQ, Flower Mound, TX 75028

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Other Identifiers 5

Medicare UPINH29281

Medicare ID-Type Unspecified8149K1TX

Other87941YTX · Bcbs

Other080166712TX · Rr Medicare

Medicaid037072802TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Melinda Bautista Balarbar 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.

PECOS PAC ID547305559

PECOS Enrollment IDI20100302000557

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 12

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.

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.

278 services177 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.

250 services157 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

113 services113 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

43 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

43 services42 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.

29 services28 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

24 services24 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

21 services21 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

19 services19 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services18 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450079

Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450634

Location3535 South I35 EastDenton, TX 76210 · Denton County

Emergency services

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450669

Location500 West Main StreetLewisville, TX 75057 · Denton County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670068

Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 4

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

7 suppliers22 claims41 services$6.80 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers15 claims46 services$16.26 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

5 suppliers12 claims12 services$49.90 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers16 claims96 services$1.82 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 8

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

CHRISTINA TRANG NI PA

Physician Assistant