JEFFREY A BALKE MD
NPI 1285694109
Hospitalist in Portland, ME

Active since March 24, 2006PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-4618 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey A Balke Md NPPES

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

JEFFREY A BALKE MD (NPI 1285694109) is an individual hospitalist provider in Portland, Maine, licensed in Maine (MD20960) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Shakopee.

NPPES Registry Identity

NPI1285694109
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJEFFREY A BALKECredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1989
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1285694109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ME · MD20960
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 33730 (MN)
22 BRAMHALL ST, Portland, ME 04102

Secondary Practice Location 1

Location 11601 Saint Francis Ave, Suite 100Shakopee, MN 55379-3383 · Phone (952) 428-3535 · Fax (952) 428-3599

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 (PECOS)

Jeffrey A Balke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224065974
PECOS Enrollment IDI20050725000468
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services56 patients
Follow-up hospital inpatient care per day, typically 25 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.
18 services11 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Nurse Anesthetist, Certified Registered
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Specialist
22 BRAMHALL ST, DEPT OF OB/GYN
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285694109, enumerated as an "individual" on March 24, 2006.

The provider is located at 22 BRAMHALL ST PORTLAND, ME 04102 and the phone number is (207) 662-4618.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.

Jeffrey Balke is affiliated with: M HEALTH FAIRVIEW UNIVERSITY OF MN.