PHILIP J BALIKIAN M.D.
NPI 1407803687
Orthopaedic Surgery in Poway, CA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
80.15/100
CMS Quality Rating
15611 POMERADO RD, POWAY, CA 92064(858) 613-8900 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip J Balikian M.d. NPPES

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

PHILIP J BALIKIAN M.D. (NPI 1407803687) is an individual orthopaedic surgery provider in Poway, California, licensed in Kentucky (35679) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (1994).

NPPES Registry Identity

NPI1407803687
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePHILIP J BALIKIANCredential: M.D.
Location Address15611 POMERADO RDPoway, CA 92064-2437
Mailing AddressPo Box 28199San Diego, CA 92198-0199 · (858) 613-8900
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1994
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 6, 2012
NPI 1407803687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in KY · 35679
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.

15611 POMERADO RD, Poway, CA 92064

Other Identifiers 3

Medicaid64016215KY
Medicare UPINH24947KY
Medicare ID-Type Unspecified1845101KY

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

Philip J Balikian 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 ID143239491
PECOS Enrollment IDI20070201000657
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 19

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,653 services26 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.
492 services224 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
283 services162 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
266 services78 patients
Destruction of peripheral nerve or branch 64640
Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.
139 services23 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
125 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92064 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

80.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality69.01
Promoting Interoperability76
Improvement Activities40

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.

Nurse Practitioner (Family)
15611 POMERADO RD
POWAY, CA 92064
Family Medicine
15611 POMERADO RD
POWAY, CA 92064
Pediatrics
15611 POMERADO RD, SUITE 400
POWAY, CA 92064
Internal Medicine (Rheumatology)
15611 POMERADO RD, 4TH FLOOR
POWAY, CA 92064
Pediatrics
15611 POMERADO RD
POWAY, CA 92064
Pain Medicine (Pain Medicine)
15611 POMERADO RD, SUITE 525
POWAY, CA 92064
Family Medicine
15611 POMERADO RD
POWAY, CA 92064
Nurse Practitioner (Family)
15611 POMERADO RD
POWAY, CA 92064

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 Philip Balikian's NPI number?

The NPI number for Philip Balikian is 1407803687. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Philip Balikian located?

Philip Balikian practices at 15611 Pomerado Rd, Poway, CA 92064. The listed phone number is (858) 613-8900.

What is Philip Balikian's specialty?

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

Is Philip Balikian enrolled in Medicare?

Yes. Philip Balikian 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.

When was this NPI record last updated?

The NPPES record for Philip Balikian was last updated on March 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.