ALINA CLAUDIA BALASA OD
NPI 1326337593
Optometrist in Sellersville, PA

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
711 LAWN AVE STE 3, SELLERSVILLE, PA 18960(215) 257-8053(215) 257-2020 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Alina Claudia Balasa Od NPPES

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

ALINA CLAUDIA BALASA OD (NPI 1326337593) is an individual optometrist in Sellersville, Pennsylvania, licensed in Pennsylvania (OEG003673) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2010).

NPPES Registry Identity

NPI1326337593
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALINA CLAUDIA BALASACredential: OD
Location Address711 LAWN AVE STE 3Sellersville, PA 18960-1575
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (667) 354-5528
Fax(215) 257-2020
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2010
Enumeration DateMarch 28, 2011
Last NPPES UpdateOctober 5, 20252 updates tracked since enumeration
NPPES CertifiedOctober 5, 2025
NPI 1326337593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG003673
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

711 LAWN AVE STE 3, Sellersville, PA 18960

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

Alina Claudia Balasa Od 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 ID6901075746
PECOS Enrollment IDI20200902001077
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 12

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.

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.
669 services556 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
285 services282 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
284 services260 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
216 services206 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services100 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
81 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18960 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.27
Promoting Interoperability77
Improvement Activities40
Cost82.2

Other Providers at the Same Location NPPES 6

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

Physician Assistant
711 LAWN AVE STE 3
SELLERSVILLE, PA 18960
Orthopaedic Surgery
711 LAWN AVE STE 3
SELLERSVILLE, PA 18960
Optometrist
711 LAWN AVE STE 3
SELLERSVILLE, PA 18960
Ophthalmology
711 LAWN AVE STE 3
SELLERSVILLE, PA 18960
Ophthalmology
711 LAWN AVE STE 3
SELLERSVILLE, PA 18960
Ophthalmology
711 LAWN AVE STE 3
SELLERSVILLE, PA 18960

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 Alina Balasa's NPI number?

The NPI number for Alina Balasa is 1326337593. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Alina Balasa located?

Alina Balasa practices at 711 Lawn Ave Ste 3, Sellersville, PA 18960. The listed phone number is (215) 257-8053.

What is Alina Balasa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alina Balasa enrolled in Medicare?

Yes. Alina Balasa 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 Alina Balasa accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Alina Balasa 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.

When was this NPI record last updated?

The NPPES record for Alina Balasa was last updated on October 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.