STEPHEN JAMES BALISE M.D.
NPI 1396109468
Surgery in Taos, NM

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
1397 WEIMER RD, TAOS, NM 87571(575) 758-8883 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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, is affiliated with Holy Cross Hospital A Div Of Taos Health Systems, and is a graduate of University Of Vermont College Of Medicine (2016).

NPPES Registry Identity

NPI1396109468
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSTEPHEN JAMES BALISECredential: M.D.
Location Address1397 WEIMER RDTaos, NM 87571-6253
Mailing Address711 Main StWilbraham, MA 01095-2631 · (413) 636-8292
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1396109468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NM · MD2024-1156
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1397 WEIMER RD, Taos, NM 87571

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

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.

PECOS PAC ID4981999471
PECOS Enrollment IDI20241224000275
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

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

Holy Cross Hospital A Div Of Taos Health Systems

Critical Access Hospitals · Taos, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number321310
Location1397 Weimer RoadTaos, NM 87571 · Taos County
Emergency services Birthing friendly

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.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 20

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

Pediatrics
1397 WEIMER RD
TAOS, NM 87571
Family Medicine
1397 WEIMER RD
TAOS, NM 87571
Hospitalist
1397 WEIMER RD
TAOS, NM 87571
Emergency Medicine
1397 WEIMER RD
TAOS, NM 87571
Registered Nurse (Diabetes Educator)
1397 WEIMER RD, DIABETES MANAGEMENT PROGRAM
TAOS, NM 87571
Podiatrist (Foot & Ankle Surgery)
1397 WEIMER RD
TAOS, NM 87571
Physician Assistant
1397 WEIMER RD
TAOS, NM 87571
Ambulance
1397 WEIMER RD
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.

Is Stephen Balise affiliated with any hospitals?

According to CMS data, Stephen Balise is affiliated with Holy Cross Hospital A Div Of Taos Health Systems.

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 15 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.