DR. RANDY DEWAIN BALMFORTH D.O.
NPI 1366642738
Radiology - Diagnostic Radiology in Garden City, MI

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
GARDEN CITY HOSPITAL, 6245 INKSTER ROAD, GARDEN CITY, MI 48135(734) 421-3300 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Randy Dewain Balmforth D.o. NPPES

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

DR. RANDY DEWAIN BALMFORTH D.O. (NPI 1366642738) is an individual diagnostic radiology provider in Garden City, Michigan, licensed in Michigan (5101017227) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366642738
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RANDY DEWAIN BALMFORTHCredential: D.O.
Location AddressGARDEN CITY HOSPITAL, 6245 INKSTER ROADGarden City, MI 48135-4001
Mailing Address6245 Inkster RdGarden City, MI 48135-4001 · (734) 421-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 23, 2007
Last NPPES UpdateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
NPI 1366642738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MI · 5101017227 Licensed in IL · 036132515 Licensed in MO · 2017018162
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
GARDEN CITY HOSPITAL, Garden City, MI 48135

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. Randy Dewain Balmforth 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 ID244480739
PECOS Enrollment IDI20130626000577, I20231214001871
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 82

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 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
278 services278 patients
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.
278 services278 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
233 services224 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
233 services188 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
160 services156 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
156 services141 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
GARDEN CITY HOSPITAL, 6245 INKSTER ROAD
GARDEN CITY, MI 48135
Student in an Organized Health Care Education/Training Program
GARDEN CITY HOSPITAL, 6425 INKSTER ROAD
GARDEN CITY, MI 48135
Pathology (Anatomic Pathology & Clinical Pathology)
GARDEN CITY HOSPITAL, 6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
GARDEN CITY HOSPITAL, 6245 INKSTER ROAD
GARDEN CITY, MI 48135

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 Randy Balmforth's NPI number?

The NPI number for Randy Balmforth is 1366642738. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Randy Balmforth located?

Randy Balmforth practices at Garden City Hospital 6245 Inkster Road, Garden City, MI 48135. The listed phone number is (734) 421-3300.

What is Randy Balmforth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Randy Balmforth enrolled in Medicare?

Yes. Randy Balmforth 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.

Is Randy Balmforth affiliated with any hospitals?

According to CMS data, Randy Balmforth is affiliated with Good Samaritan Regional Hlth Center, Heartland Regional Medical Center, Fairfield Memorial Hospital 1, Ferrell Hospital Community Foundations and Wabash General Hospital 1.

When was this NPI record last updated?

The NPPES record for Randy Balmforth was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.