KATELYN BALANCIO OD
NPI 1457909616
Optometrist in Stockton, CA
About Katelyn Balancio Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN BALANCIO OD (NPI 1457909616) is an individual optometrist in Stockton, California, licensed in California (34375TLG) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Balancio Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Balancio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katelyn Balancio's NPI number?
The NPI number for Katelyn Balancio is 1457909616. It was assigned to this individual provider in the NPPES registry on August 30, 2019.
Where is Katelyn Balancio located?
Katelyn Balancio practices at 4950 Pacific Ave, Stockton, CA 95207. The listed phone number is (209) 477-4114.
What is Katelyn Balancio's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Katelyn Balancio enrolled in Medicare?
Yes. Katelyn Balancio 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.
Which organization bills Medicare for Katelyn Balancio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Balancio reassigns Medicare benefits to Zeiter Eye Medical Group, Inc. (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Balancio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Balancio accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Katelyn Balancio 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 Katelyn Balancio was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Katelyn Balancio, OD · NPI 1457909616
Optometrist provider in Stockton, California. Individual provider, active in the CMS NPPES registry since August 30, 2019.
## Identity
- **NPI:** 1457909616 (Entity type: Individual)
- **Enumerated:** August 30, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34375TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4950 PACIFIC AVE, Stockton, CA 95207-6307
- **Phone:** (209) 477-4114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Zeiter Eye Medical Group, Inc. (NPI 1144410705, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1457909616) · Data from the CMS NPPES public registry.