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DR. ERICA R BALTHROP MD
NPI 1366438772
Obstetrics & Gynecology in Southaven, MS

Active since September 21, 2005PECOS Enrolled
401 SOUTHCREST CIR STE 104, SOUTHAVEN, MS 38671(662) 349-1112 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Erica R Balthrop Md NPPES

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

DR. ERICA R BALTHROP MD (NPI 1366438772) is an individual obstetrics & gynecology provider in Southaven, Mississippi, licensed in Mississippi (16812) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains a secondary practice location in Clarksdale.

NPPES Registry Identity

NPI1366438772
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ERICA R BALTHROPCredential: MD
Location Address401 SOUTHCREST CIR STE 104Southaven, MS 38671-6712
Mailing AddressPo Box 405827Atlanta, GA 30384-5827 · (901) 226-3186 · Fax (901) 226-3160
Phone(662) 349-1112
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1996
Enumeration DateSeptember 21, 2005
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1366438772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MS · 16812
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
401 SOUTHCREST CIR STE 104, Southaven, MS 38671
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Secondary Practice Location 1

Location 12000 N State StClarksdale, MS 38614-6100 · Phone (662) 627-7361 · Fax (662) 627-1158

Other Identifiers 3

Other149982001MS · Ark Medicaid
Other82606MS · Ark Bc Bs
Medicaid00122260MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

Dr. Erica R Balthrop Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870481278
PECOS Enrollment IDI20100902000023
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
43 services43 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 4

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

ANGELA GAIL MITCHELL FNP-C
Nurse Practitioner (Family)
401 SOUTHCREST CIR STE 104
SOUTHAVEN, MS 38671
Desoto County (901) 763-3636
DR. ANDREW STAHLER M.D.
Obstetrics & Gynecology
401 SOUTHCREST CIR STE 104
SOUTHAVEN, MS 38671
Desoto County (662) 349-1112
DR. KENYETTA D BRUMMITT M.D.
Obstetrics & Gynecology
401 SOUTHCREST CIR STE 104
SOUTHAVEN, MS 38671
Desoto County (662) 349-1112
GEORGE SEAN TUCKER M.D.
Obstetrics & Gynecology
401 SOUTHCREST CIR STE 104
SOUTHAVEN, MS 38671
Desoto County (662) 349-1112

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 Erica Balthrop's NPI number?

The NPI number for Erica Balthrop is 1366438772. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Erica Balthrop located?

Erica Balthrop practices at 401 Southcrest Cir Ste 104, Southaven, MS 38671. The listed phone number is (662) 349-1112.

What is Erica Balthrop's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Erica Balthrop enrolled in Medicare?

Yes. Erica Balthrop is registered in the Medicare PECOS enrollment system.

What insurance does Erica Balthrop accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Erica Balthrop 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 Erica Balthrop affiliated with any hospitals?

According to CMS data, Erica Balthrop is affiliated with Baptist Memorial Hospital Desoto and Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Erica Balthrop was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.