LUKE BALMER
NPI 1366067373
Nurse Practitioner - Adult Health in Richmond, VA
About Luke Balmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUKE BALMER (NPI 1366067373) is an individual adult health provider in Richmond, Virginia, licensed in Virginia (0024179499) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Luke Balmer 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 Reassignment
Medicare enrollment records show Luke Balmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical College Of Virginia Hospitals
Acute Care Hospitals · Richmond, VAVcu Health Tappahannock Hospital
Acute Care Hospitals · Tappahannock, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23235 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, VA 23235
RICHMOND, VA 23235
RICHMOND, VA 23235
RICHMOND, VA 23235
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 Luke Balmer's NPI number?
The NPI number for Luke Balmer is 1366067373. It was assigned to this individual provider in the NPPES registry on June 15, 2020.
Where is Luke Balmer located?
Luke Balmer practices at 9000 Stony Point Pkwy, Richmond, VA 23235. The listed phone number is (804) 828-2161.
What is Luke Balmer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Luke Balmer enrolled in Medicare?
Yes. Luke Balmer 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 organization bills Medicare for Luke Balmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Balmer reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). The 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 Luke Balmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luke Balmer accept?
Health plans from Oscar Health list Luke Balmer 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.
Is Luke Balmer affiliated with any hospitals?
According to CMS data, Luke Balmer is affiliated with Medical College Of Virginia Hospitals and Vcu Health Tappahannock Hospital.
When was this NPI record last updated?
The NPPES record for Luke Balmer was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Luke Balmer · NPI 1366067373
Adult Health physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since June 15, 2020.
## Identity
- **NPI:** 1366067373 (Entity type: Individual)
- **Enumerated:** June 15, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 0024179499 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9000 STONY POINT PKWY, Richmond, VA 23235-1900
- **Phone:** (804) 828-2161 · **Fax:** (804) 998-1255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcv Associated Physicians (NPI 1710959457, Richmond, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366067373) · Data from the CMS NPPES public registry.