JASON P BALOGH PT
NPI 1396796876
Physical Therapist in Erie, PA

Active since May 12, 2006Accepts Medicare Assignment
96.43/100
CMS Quality Rating
3010 W LAKE RD, ERIE, PA 16505(814) 833-2022(814) 838-1223 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason P Balogh Pt NPPES

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

JASON P BALOGH PT (NPI 1396796876) is an individual physical therapist in Erie, Pennsylvania, licensed in Pennsylvania (PT013903L) and active in the NPI registry since May 2006. He is a graduate of Other (1999).

NPPES Registry Identity

NPI1396796876
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJASON P BALOGHCredential: PT
Location Address3010 W LAKE RDErie, PA 16505-3849
Mailing Address4817 Leah DrGirard, PA 16417-7525 · (814) 774-1080
Fax(814) 838-1223
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1396796876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in PA · PT013903L Licensed in OH · PT008837
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

3010 W LAKE RD, Erie, PA 16505

Accepted 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

Jason P Balogh Pt 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 ID8022067248
PECOS Enrollment IDI20070730000774

Areas of Expertise CMS Part B claims 2

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
81 services24 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16505 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.87
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%40 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Physical Therapist
3010 W LAKE RD
ERIE, PA 16505
Nurse Practitioner (Family)
3010 W LAKE RD, USX STEEL TOWER, 7TH FLOOR, 744
ERIE, PA 16505
Clinic/Center (Occupational Medicine)
3010 W LAKE RD
ERIE, PA 16505
Physical Therapist
3010 W LAKE RD
ERIE, PA 16505
Clinic/Center (Urgent Care)
3010 W LAKE RD
ERIE, PA 16505
Family Medicine
3010 W LAKE RD
ERIE, PA 16505
Physical Therapy Assistant
3010 W LAKE RD
ERIE, PA 16505
Preventive Medicine (Occupational Medicine)
3010 W LAKE RD
ERIE, PA 16505

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 Jason Balogh's NPI number?

The NPI number for Jason Balogh is 1396796876. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Jason Balogh located?

Jason Balogh practices at 3010 W Lake Rd, Erie, PA 16505. The listed phone number is (814) 833-2022.

What is Jason Balogh's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jason Balogh enrolled in Medicare?

Yes. Jason Balogh 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 Jason Balogh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jason Balogh 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.

When was this NPI record last updated?

The NPPES record for Jason Balogh was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.