NATHAN SHANE BALUSIK
NPI 1407174576
Family Medicine in Waterville, OH

Q: What is Nathan Balusik's NPI number?

The NPI number for Nathan Balusik is 1407174576. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Q: What is Nathan Balusik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Balusik was last updated on June 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment

900 WATERVILLE MONCLOVA RD, SUITE A, WATERVILLE, OH 43566(419) 878-3010(419) 878-3236 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nathan Shane Balusik NPPES

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

NATHAN SHANE BALUSIK (NPI 1407174576) is an individual family medicine provider in Waterville, Ohio, licensed in Ohio (35.120628) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Wood County Hospital, and is a graduate of University Of Toledo College Of Medicine (2010).

NPPES Registry Identity

NPI1407174576

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNATHAN SHANE BALUSIK

Location Address900 WATERVILLE MONCLOVA RD, SUITE AWaterville, OH 43566-1099

Mailing Address900 Waterville Monclova Rd, Suite AWaterville, OH 43566-1099 · (419) 878-3010 · Fax (419) 878-3236

Phone(419) 878-3010

Fax(419) 878-3236

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2010

Enumeration DateMay 13, 2010

Last NPPES UpdateJune 21, 2013

✔ NPI 1407174576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.120628

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.

900 WATERVILLE MONCLOVA RD, Waterville, OH 43566

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Other Identifiers 1

Other35 120628OH · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nathan Shane Balusik 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 ID6002055423

PECOS Enrollment IDI20130829000913

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.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

461 services169 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.

229 services151 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

65 services65 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

59 services59 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

57 services57 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

47 services33 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

43 services43 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

36 services29 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

20 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services13 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360029

Location950 West Wooster StreetBowling Green, OH 43402 · Wood County

Emergency services Birthing friendly

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360048

Location3000 Arlington AvenueToledo, OH 43699 · Lucas County

Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Henry County Hospital, Inc

Critical Access Hospitals · Napoleon, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361309

Location1600 East Riverview AvenueNapoleon, OH 43545 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43566 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers31 claims74 services$6.30 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers15 claims27 services$1.12 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier29 claims29 services$13.96 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier19 claims19 services$4.30 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$14.83 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier12 claims19 services$15.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

DR. ANDREA KATHRYN BRUSS M.D.

Family Medicine

900 WATERVILLE MONCLOVA RD, SUITE A
WATERVILLE, OH 43566

Lucas County (419) 878-3010

WATERVILLE FAMILY PHYSICIANS INC.

Family Medicine

900 WATERVILLE MONCLOVA RD, STE A
WATERVILLE, OH 43566

Lucas County (419) 878-2026

DR. STEPHEN P. BAZELEY M.D.

Family Medicine

900 WATERVILLE MONCLOVA RD, STE A
WATERVILLE, OH 43566

Lucas County (419) 878-2026

LINDSEY J BOSTELMAN MD

Family Medicine

900 WATERVILLE MONCLOVA RD, STE. A
WATERVILLE, OH 43566

Lucas County (419) 878-3010

DR. MARK R BRUSS M.D.

Family Medicine

900 WATERVILLE MONCLOVA RD, STE A
WATERVILLE, OH 43566

Lucas County (419) 878-2026

DR. REBECCA L SIDERS D.O.

Family Medicine

900 WATERVILLE MONCLOVA RD, STE A
WATERVILLE, OH 43566

Lucas County (419) 878-2026

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 Nathan Balusik's NPI number?

The NPI number for Nathan Balusik is 1407174576. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Nathan Balusik located?

Nathan Balusik practices at 900 Waterville Monclova Rd Suite A, Waterville, OH 43566. The listed phone number is (419) 878-3010.

What is Nathan Balusik's specialty?

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

Is Nathan Balusik enrolled in Medicare?

Yes. Nathan Balusik 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 Nathan Balusik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Nathan Balusik 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 Nathan Balusik affiliated with any hospitals?

According to CMS data, Nathan Balusik is affiliated with Wood County Hospital, University Of Toledo Medical Center, Promedica Toledo Hospital, Mercy St Vincent Medical Center and Henry County Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nathan Balusik was last updated on June 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.