DR. BRETT DANIEL BALOUN MD
NPI 1245448869
Internal Medicine - Gastroenterology in Sioux Falls, SD
About Dr. Brett Daniel Baloun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRETT DANIEL BALOUN MD (NPI 1245448869) is an individual gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (8463) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2004).
NPPES Registry Identity
Specialties & Licenses 2
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. Brett Daniel Baloun 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSanford Medical Center Aberdeen
Acute Care Hospitals · Aberdeen, SDSanford Canton-Inwood Medical Center - Cah
Critical Access Hospitals · Canton, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX FALLS, SD 57105
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 Brett Baloun's NPI number?
The NPI number for Brett Baloun is 1245448869. It was assigned to this individual provider in the NPPES registry on May 18, 2007.
Where is Brett Baloun located?
Brett Baloun practices at 1205 S Grange Ave Ste 104, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.
What is Brett Baloun's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Brett Baloun enrolled in Medicare?
Yes. Brett Baloun 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 Brett Baloun accept?
Health plans from Medica, Sanford Health Plan and Security Health Plan list Brett Baloun 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 Brett Baloun affiliated with any hospitals?
According to CMS data, Brett Baloun is affiliated with Sanford Usd Medical Center, Sanford Medical Center Aberdeen and Sanford Canton-Inwood Medical Center - Cah.
When was this NPI record last updated?
The NPPES record for Brett Baloun was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.
