STEPHEN JAMES BALISE M.D.
NPI 1396109468
Surgery in Taos, NM
About Stephen James Balise M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN JAMES BALISE M.D. (NPI 1396109468) is an individual surgery provider in Taos, New Mexico, licensed in New Mexico (MD2024-1156) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Stephen James Balise M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephen Balise reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 122 clinicians in this Medicare group
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87571 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TAOS, NM 87571
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 Stephen Balise's NPI number?
The NPI number for Stephen Balise is 1396109468. It was assigned to this individual provider in the NPPES registry on April 5, 2016.
Where is Stephen Balise located?
Stephen Balise practices at 1397 Weimer Rd, Taos, NM 87571. The listed phone number is (575) 758-8883.
What is Stephen Balise's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Stephen Balise enrolled in Medicare?
Yes. Stephen Balise 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 Stephen Balise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Balise reassigns Medicare benefits to 2 organizations: Taos Health Systems Inc Holy Cross Hospital (Taos, NM) and Taos Professional Services,llc (Taos, NM). 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 Stephen Balise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephen Balise was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Stephen James Balise, M.D. · NPI 1396109468
Surgery physician in Taos, New Mexico. Individual provider, active in the CMS NPPES registry since April 5, 2016.
## Identity
- **NPI:** 1396109468 (Entity type: Individual)
- **Enumerated:** April 5, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD2024-1156 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1397 WEIMER RD, Taos, NM 87571-6253
- **Phone:** (575) 758-8883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Taos Health Systems Inc Holy Cross Hospital (NPI 1194751958, Taos, NM); Taos Professional Services,llc (NPI 1891070777, Taos, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396109468) · Data from the CMS NPPES public registry.