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MICHAEL BALATICO M.D.
NPI 1437682671
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
15 MEDICAL DR, STE. #1100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Oct 16, 2018 (2 updates tracked since 2018).

About Michael Balatico M.d. NPPES

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

MICHAEL BALATICO M.D. (NPI 1437682671) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1437682671
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMICHAEL BALATICOCredential: M.D.
Location Address15 MEDICAL DR, STE. #1100Salt Lake City, UT 84112-1100
Mailing Address15 N. Medical Drive E., Ste. 1100Salt Lake City, UT 84112
Phone(801) 581-2121
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1437682671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in UT · 1205
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
15 MEDICAL DR, Salt Lake City, UT 84112
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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

Michael Balatico 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 ID6305233396
PECOS Enrollment IDI20220421000608
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 13

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
171 services59 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
138 services100 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
130 services44 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
87 services76 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
72 services64 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
60 services54 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. ARCHANA MISHRA AGARWAL M.D.
Pathology (Hematology)
15 MEDICAL DR, EMMA ECCLES JONES MEDICAL SCI, RM 2100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2507
BRANDY POWNELL M.D.
Pathology (Clinical Pathology)
15 MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4357
JEFFREY MOHLMAN M.D., M.P.H.
Pathology (Anatomic Pathology & Clinical Pathology)
15 MEDICAL DR, STE. #1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
MAGGIE L HOPKINS MD
Pathology (Clinical Pathology)
15 MEDICAL DR, EMMA ECCLES JONES MEDICAL SUITE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
EVAN RAPS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
15 MEDICAL DR, STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390

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 Michael Balatico's NPI number?

The NPI number for Michael Balatico is 1437682671. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Michael Balatico located?

Michael Balatico practices at 15 Medical Dr Ste. #1100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Michael Balatico's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Michael Balatico enrolled in Medicare?

Yes. Michael Balatico 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 Michael Balatico affiliated with any hospitals?

According to CMS data, Michael Balatico is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Michael Balatico was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.