ALINA CLAUDIA BALASA OD
NPI 1326337593
Optometrist in Sellersville, PA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Alina Balasa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sellersville, PA 18960
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 clinicians in this Medicare group
Kingston, PA 18704
- Reassigned Medicare billing, Pennsylvania enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Alina Balasa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alina Balasa reassigns Medicare benefits to 2 organizations: Bucks-Mont Eye Associates, PC (Sellersville, PA) and Vision Innovation Centers Of Pennsylvania LLC (Kingston, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alina Balasa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alina Balasa accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alina Claudia Balasa, OD · NPI 1326337593
Optometrist provider in Sellersville, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 28, 2011.
## Identity
- **NPI:** 1326337593 (Entity type: Individual)
- **Enumerated:** March 28, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG003673 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 711 LAWN AVE STE 3, Sellersville, PA 18960-1575
- **Phone:** (215) 257-8053 · **Fax:** (215) 257-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bucks-Mont Eye Associates, PC (NPI 1336158971, Sellersville, PA); Vision Innovation Centers Of Pennsylvania LLC (NPI 1962046458, Kingston, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2010
## Record status
- **NPPES last updated:** October 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1326337593) · Data from the CMS NPPES public registry.