DR. TAMAS BALOGH MD
NPI 1245235167
Internal Medicine - Cardiovascular Disease in Mount Airy, NC

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
708 S SOUTH ST STE 200, MOUNT AIRY, NC 27030(336) 786-6146 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tamas Balogh Md NPPES

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

DR. TAMAS BALOGH MD (NPI 1245235167) is an individual cardiovascular disease provider in Mount Airy, North Carolina, licensed in North Carolina (9600446) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Mount Airy.

NPPES Registry Identity

NPI1245235167
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. TAMAS BALOGHCredential: MD
Location Address708 S SOUTH ST STE 200Mount Airy, NC 27030
Mailing AddressPo Box 249Yadkinville, NC 27055-0249 · (336) 679-4963 · Fax (336) 679-2549
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 16, 2005
Last NPPES UpdateAugust 16, 2018
NPI 1245235167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 9600446
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.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 9600446 (NC)
708 S SOUTH ST STE 200, Mount Airy, NC 27030

Secondary Practice Location 1

Location 1905 Rockford StMount Airy, NC 27030-5323 · Phone (336) 719-2440 · Fax (336) 719-6915

Other Identifiers 11

Other1434017NC · United Healthcare
Other110141504NC · Medicare Railroad
Other16442NC · Partners Medicare
Other66909NC · Medcost
Other2702499NC · Aetna Hmo
Other111397NC · Cigna
Other12888NC · Bcbs Of Nc
Other377877NC · Mamsi
Other5255420NC · Aetna Ppo
Medicaid8912888NC
Other137861NC · Southcare Ppo

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

Dr. Tamas Balogh 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 ID8820187206
PECOS Enrollment IDI20100112000760
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 14

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.
620 services346 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.
524 services311 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.
270 services255 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
97 services97 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
95 services95 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
95 services95 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
708 S SOUTH ST STE 200
MOUNT AIRY, NC 27030
Nurse Practitioner (Family)
708 S SOUTH ST STE 200
MOUNT AIRY, NC 27030
Internal Medicine (Cardiovascular Disease)
708 S SOUTH ST STE 200
MOUNT AIRY, NC 27030

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 Tamas Balogh's NPI number?

The NPI number for Tamas Balogh is 1245235167. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Tamas Balogh located?

Tamas Balogh practices at 708 S South St Ste 200, Mount Airy, NC 27030. The listed phone number is (336) 786-6146.

What is Tamas Balogh's specialty?

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

Is Tamas Balogh enrolled in Medicare?

Yes. Tamas Balogh 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 Tamas Balogh accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tamas Balogh 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 Tamas Balogh affiliated with any hospitals?

According to CMS data, Tamas Balogh is affiliated with Northern Regional Hospital and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Tamas Balogh was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.