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NICHOLAS MARK BALOGA PA-C
NPI 1366764276
Physician Assistant - Surgical in Knoxville, TN

Active since February 18, 2010PECOS EnrolledAccepts Medicare Assignment
1932 ALCOA HWY, STE 360, KNOXVILLE, TN 37920(865) 524-1869(865) 544-6533 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2019, Aug 20, 2018 (2 updates tracked since 2018).

About Nicholas Mark Baloga Pa-c NPPES

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

NICHOLAS MARK BALOGA PA-C (NPI 1366764276) is an individual surgical provider in Knoxville, Tennessee, licensed in Tennessee (1801) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1366764276
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameNICHOLAS MARK BALOGACredential: PA-C
Location Address1932 ALCOA HWY, STE 360Knoxville, TN 37920-1509
Mailing Address1932 Alcoa Hwy, Ste 360Knoxville, TN 37920-1509 · (865) 524-1869 · Fax (865) 544-6533
Phone(865) 524-1869
Fax(865) 544-6533
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 18, 2010
Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration
✔ NPI 1366764276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 1801
1932 ALCOA HWY, Knoxville, TN 37920
Open in Google Maps ↗

Secondary Practice Location 1

Location 1930 E Emerald Ave, Suite 511Knoxville, TN 37917-4539 · Phone (865) 647-3550 · Fax (865) 647-3559

Other Identifiers 1

Medicaid1518131TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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 and accepts Medicare assignment

Nicholas Mark Baloga Pa-c 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 ID1850420324
PECOS Enrollment IDI20100520000792
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 7

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.
125 services116 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
106 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
72 services71 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

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.

SUSAN S HOUCHINS NP
Nurse Practitioner (Obstetrics & Gynecology)
1932 ALCOA HWY, 150
KNOXVILLE, TN 37920
Knox County (865) 546-1642
HANNAH M. NEMEC MD
Surgery
1932 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 251-4658
REGINA MORRISON PHILLIPS N.P.
Nurse Practitioner
1932 ALCOA HWY, SUITE 580
KNOXVILLE, TN 37920
Knox County (865) 305-6333
MORGAN ANDERSON PA-C
Physician Assistant (Surgical)
1932 ALCOA HWY, SUITE 360
KNOXVILLE, TN 37920
Knox County (865) 524-1869
ROCIO A HUET M.D.
Internal Medicine
1932 ALCOA HWY, STE 470
KNOXVILLE, TN 37920
Knox County (865) 971-3529
UNIVERSITY HEALTH SYSTEM, INC
General Practice
1932 ALCOA HWY, BLDG C SUITE 550
KNOXVILLE, TN 37920
Knox County (865) 546-6554
WILLIAM CASON P.A.
Physician Assistant (Surgical)
1932 ALCOA HWY, STE 255
KNOXVILLE, TN 37920
Knox County (865) 524-1869
NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC
Internal Medicine (Nephrology)
1932 ALCOA HWY, STE C460
KNOXVILLE, TN 37920
Knox County (865) 546-9246

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 Nicholas Baloga's NPI number?

The NPI number for Nicholas Baloga is 1366764276. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Nicholas Baloga located?

Nicholas Baloga practices at 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920. The listed phone number is (865) 524-1869.

What is Nicholas Baloga's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicholas Baloga enrolled in Medicare?

Yes. Nicholas Baloga 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.

What insurance does Nicholas Baloga accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Nicholas Baloga 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 Nicholas Baloga affiliated with any hospitals?

According to CMS data, Nicholas Baloga is affiliated with Physicians Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Baloga was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.