JEFFREY TYLER BALKENBUSH MD
NPI 1376122028
Family Medicine in Charlotte, NC

Q: What is Jeffrey Balkenbush's NPI number?

The NPI number for Jeffrey Balkenbush is 1376122028. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Jeffrey Balkenbush's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment

9101 MONROE RD STE 155, CHARLOTTE, NC 28270(704) 384-1260(704) 384-1289 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Apr 7, 2021 (2 updates tracked since 2021).

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About Jeffrey Tyler Balkenbush Md NPPES

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

JEFFREY TYLER BALKENBUSH MD (NPI 1376122028) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-02357) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376122028

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFREY TYLER BALKENBUSHCredential: MD

Location Address9101 MONROE RD STE 155Charlotte, NC 28270-2467

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (405) 271-8818

Phone(704) 384-1260

Fax(704) 384-1289

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 7, 2021

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1376122028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2025-02357✔ Licensed in OK · 43195

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9101 MONROE RD STE 155, Charlotte, NC 28270

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Secondary Practice Locations 3

Location 1900 NE 10th StOklahoma City, OK 73104-5420 · Phone (405) 271-8818

Location 24301 W Markham St # 530Little Rock, AR 72205-7101 · Phone (501) 686-6560

Location 31 Childrens Way # 512Little Rock, AR 72202-3500 · Phone (202) 364-1874

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Jeffrey Tyler Balkenbush Md 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 ID3870994296

PECOS Enrollment IDI20251002001203

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.

Hospital Affiliations CMS Care Compare 3

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340190

Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28270 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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.

VAISHNAVI GADICHARLA DO

Family Medicine

9101 MONROE RD STE 155
CHARLOTTE, NC 28270

Mecklenburg County (704) 384-1260

TYLER DAVID WIZA

Physician Assistant

9101 MONROE RD STE 155
CHARLOTTE, NC 28270

Mecklenburg County (704) 384-1260

SUSHIL CHANDER MITTAL M.D.

Family Medicine

9101 MONROE RD STE 155
CHARLOTTE, NC 28270

Mecklenburg County (704) 384-1260

MS. KELLI ELIZABETH HOLDT

Social Worker (Clinical)

9101 MONROE RD STE 155
CHARLOTTE, NC 28270

Mecklenburg County (704) 384-1260

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 Jeffrey Balkenbush's NPI number?

The NPI number for Jeffrey Balkenbush is 1376122028. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Jeffrey Balkenbush located?

Jeffrey Balkenbush practices at 9101 Monroe Rd Ste 155, Charlotte, NC 28270. The listed phone number is (704) 384-1260.

What is Jeffrey Balkenbush's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Balkenbush enrolled in Medicare?

Yes. Jeffrey Balkenbush 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 Jeffrey Balkenbush accept?

Health plans from Blue Cross and Blue Shield of NC list Jeffrey Balkenbush 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 Jeffrey Balkenbush affiliated with any hospitals?

According to CMS data, Jeffrey Balkenbush is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Balkenbush was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.