DR. DAVID L BALFE M.D.
NPI 1265410146
Internal Medicine - Pulmonary Disease in Los Angeles, CA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
3.7/100
CMS Quality Rating
8700 BEVERLY BLVD., LOS ANGELES, CA 90048(310) 967-1884(310) 967-1744 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David L Balfe M.d. NPPES

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

DR. DAVID L BALFE M.D. (NPI 1265410146) is an individual pulmonary disease provider in Los Angeles, California, licensed in California (A66798) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1265410146
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DAVID L BALFECredential: M.D.
Location Address8700 BEVERLY BLVD.Los Angeles, CA 90048-1865
Mailing AddressPo Box 512717Los Angeles, CA 90051-0717 · (310) 423-1834 · Fax (310) 423-0129
Fax(310) 967-1744
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 12, 2014
NPI 1265410146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A66798
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

8700 BEVERLY BLVD., Los Angeles, CA 90048

Other Identifiers 1

Medicare UPINH17982CA

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. David L Balfe 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 ID4789872730
PECOS Enrollment IDI20101217000519
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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,546 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
861 services305 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
351 services75 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
222 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
157 services151 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
86 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

3.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost12.36

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.

Emergency Medicine (Emergency Medical Services)
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Physician Assistant (Surgical)
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Emergency Medicine
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Specialist
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Specialist
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
General Acute Care Hospital
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Internal Medicine
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048
Specialist
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048

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 David Balfe's NPI number?

The NPI number for David Balfe is 1265410146. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is David Balfe located?

David Balfe practices at 8700 Beverly Blvd., Los Angeles, CA 90048. The listed phone number is (310) 967-1884.

What is David Balfe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is David Balfe enrolled in Medicare?

Yes. David Balfe 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.

When was this NPI record last updated?

The NPPES record for David Balfe was last updated on August 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.