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JEFFREY E BALAZSY MD, DPM
NPI 1376524603
Orthopaedic Surgery in Panama City, FL

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
801 E 6TH ST STE 602, PANAMA CITY, FL 32401(850) 804-3850(850) 804-7011 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2024, Aug 26, 2019 (2 updates tracked since 2019).

About Jeffrey E Balazsy Md, Dpm NPPES

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

JEFFREY E BALAZSY MD, DPM (NPI 1376524603) is an individual orthopaedic surgery provider in Panama City, Florida, licensed in Florida (ME92348) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1995).

NPPES Registry Identity

NPI1376524603
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJEFFREY E BALAZSYCredential: MD, DPM
Location Address801 E 6TH ST STE 602Panama City, FL 32401-3645
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Phone(850) 804-3850
Fax(850) 804-7011
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1995
Enumeration DateNovember 14, 2005
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1376524603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME92348
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
801 E 6TH ST STE 602, Panama City, FL 32401
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Other Identifiers 4

Other91108FL · Bcbs Of Florida
OtherME92348FL · Florida Medical License
Medicaid4303052MI
Other818053LA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey E Balazsy Md, Dpm 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 ID5597860668
PECOS Enrollment IDI20070418000264
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jeffrey Balazsy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Hospital Of Pensacola
96 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500
Ascension Sacred Heart Gulf
96 mi
Family Medicine
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group
NPI 1528336302 (850) 475-4500
Neurospine Institute LLC
429 mi
Surgery
280 SW NATURA AVE
Deerfield Beach, FL 33441
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1710306774 (561) 549-9090
Covenant Medical Center, Inc
918 mi
Family Medicine
1447 N HARRISON ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
NPI 1063955136 (989) 583-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
102 services101 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
54 services54 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
41 services41 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.
23 services22 patients
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.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Jackson Hospital

Acute Care Hospitals · Marianna, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100142
Location4250 Hospital DrMarianna, FL 32446 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

JESSICA KATHERINE FUQUA PA-C
Physician Assistant
801 E 6TH ST STE 602
PANAMA CITY, FL 32401
Bay County (850) 804-3850
KATELYNN TAYLOR ANDREEN MD
Orthopaedic Surgery
801 E 6TH ST STE 602
PANAMA CITY, FL 32401
Bay County (850) 416-6933
SANA JAVED-EBEID M.D.
Psychiatry & Neurology (Neurology)
801 E 6TH ST STE 602
PANAMA CITY, FL 32401
Bay County (850) 770-3030

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 Balazsy's NPI number?

The NPI number for Jeffrey Balazsy is 1376524603. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jeffrey Balazsy located?

Jeffrey Balazsy practices at 801 E 6th St Ste 602, Panama City, FL 32401. The listed phone number is (850) 804-3850.

What is Jeffrey Balazsy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Balazsy enrolled in Medicare?

Yes. Jeffrey Balazsy 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.

Which organizations bill Medicare for Jeffrey Balazsy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Balazsy reassigns Medicare benefits to 4 organizations: Sacred Heart Hospital Of Pensacola (Pensacola, FL), Ascension Sacred Heart Gulf (Pensacola, FL), Neurospine Institute LLC (Deerfield Beach, FL) and Covenant Medical Center, Inc (Saginaw, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Balazsy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Balazsy accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Jeffrey Balazsy 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 Balazsy affiliated with any hospitals?

According to CMS data, Jeffrey Balazsy is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay and Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Balazsy was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.