DR. LAURENCE BRUCE BALTER MD
NPI 1326037201
Internal Medicine - Infectious Disease in Atlanta, GA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 23, 2018 (2 updates tracked since 2018).

About Dr. Laurence Bruce Balter Md NPPES

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

DR. LAURENCE BRUCE BALTER MD (NPI 1326037201) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (079046) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1326037201
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. LAURENCE BRUCE BALTERCredential: MD
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2247
Mailing Address550 Peachtree St NeAtlanta, GA 30308-2247 · (404) 686-4411
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1998
Enumeration DateOctober 13, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1326037201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in GA · 079046 Licensed in DC · MD034197 Licensed in MD · D0060299
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
550 PEACHTREE ST NE, Atlanta, GA 30308

Secondary Practice Location 1

Location 16400 Goldsboro Rd, Suite 330Bethesda, MD 20817 · Phone (301) 320-3361

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. Laurence Bruce Balter 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 ID648396572
PECOS Enrollment IDI20180214001738
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 5

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 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.
40 services20 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.
38 services22 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.
24 services16 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.
23 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308

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 Laurence Balter's NPI number?

The NPI number for Laurence Balter is 1326037201. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Laurence Balter located?

Laurence Balter practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (404) 686-4411.

What is Laurence Balter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Laurence Balter enrolled in Medicare?

Yes. Laurence Balter 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.

Is Laurence Balter affiliated with any hospitals?

According to CMS data, Laurence Balter is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Laurence Balter was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.