DR. PRUDENCIO SAYSON BALAGTAS JR. D.O.
NPI 1366505059
Physical Medicine & Rehabilitation in Cleveland, OH

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
65.61/100
CMS Quality Rating
9500 EUCLID AVE, S40, CLEVELAND, OH 44195(216) 636-5860 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prudencio Sayson Balagtas Jr. D.o. NPPES

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

DR. PRUDENCIO SAYSON BALAGTAS JR. D.O. (NPI 1366505059) is an individual physical medicine & rehabilitation provider in Cleveland, Ohio, licensed in Ohio (58005145) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1366505059
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. PRUDENCIO SAYSON BALAGTAS JR.Credential: D.O.
Location Address9500 EUCLID AVE, S40Cleveland, OH 44195-0001
Mailing Address2801 K St, Ste 410Sacramento, CA 95816-5119 · (216) 636-5860
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 18, 2006
Last NPPES UpdateMay 9, 2019
NPI 1366505059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in OH · 58005145
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
9500 EUCLID AVE, Cleveland, OH 44195

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. Prudencio Sayson Balagtas Jr. D.o. 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 ID4880813310
PECOS Enrollment IDI20140916001666
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 14

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 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.
156 services58 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
77 services48 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
40 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
22 services17 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.
19 services17 patients

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.

65.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.95
Promoting Interoperability91
Improvement Activities0
Cost55.91

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.

Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195

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 Prudencio Balagtas's NPI number?

The NPI number for Prudencio Balagtas is 1366505059. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Prudencio Balagtas located?

Prudencio Balagtas practices at 9500 Euclid Ave S40, Cleveland, OH 44195. The listed phone number is (216) 636-5860.

What is Prudencio Balagtas's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Prudencio Balagtas enrolled in Medicare?

Yes. Prudencio Balagtas 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.

When was this NPI record last updated?

The NPPES record for Prudencio Balagtas was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.