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DR. GEORGE K BAL M.D.
NPI 1467548255
Orthopaedic Surgery - Sports Medicine in Morgantown, WV

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2022, Jan 6, 2021, Oct 17, 2020 (3 updates tracked since 2020).

About Dr. George K Bal M.d. NPPES

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

DR. GEORGE K BAL M.D. (NPI 1467548255) is an individual sports medicine provider in Morgantown, West Virginia, licensed in West Virginia (21791) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1467548255
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. GEORGE K BALCredential: M.D.
Location Address1 STADIUM DRIVEMorgantown, WV 26506
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Phone(304) 598-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 15, 20223 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1467548255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WV · 21791
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1 STADIUM DRIVE, Morgantown, WV 26506
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Other Identifiers 3

OtherCA7030WV · Railroad Medicare Group #
Medicaid3810002331WV
OtherP00238414WV · Railroad Medicare

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. George K Bal 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 ID3678542321
PECOS Enrollment IDI20050621000019, I20240312000863
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.

Medicare Billing Reassignments

2

Medicare enrollment records show George Bal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation
0.3 mi
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, Pennsylvania and West Virginia enrollments
  • 128 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800
Fayette Physician Network Inc
13 mi
Family Medicine
25 MAIN ST
Smithfield, PA 15478
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
NPI 1588066765 (724) 569-1420

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 10

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 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.
192 services158 patients
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.
60 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
35 services35 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.
34 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
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.

DR. MICHAEL HURST M.D.
Otolaryngology
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
TANYA C AMMONS CRNA
Nurse Anesthetist, Certified Registered
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. CHERIE L KELLY-DANHIRES DPM
Podiatrist
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. DAVID WEISSMAN M. D.
Internal Medicine (Pulmonary Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. KATHRYN S MOFFETT M.D.
Pediatrics (Pediatric Infectious Diseases)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
MARY E CHAFIN
Nurse Practitioner
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DENISE BOYCE PA-C
Physician Assistant
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800
DR. NATHAN LERFALD M.D.
Internal Medicine
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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 George Bal's NPI number?

The NPI number for George Bal is 1467548255. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is George Bal located?

George Bal practices at 1 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is George Bal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is George Bal enrolled in Medicare?

Yes. George Bal 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 organizations bill Medicare for George Bal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Bal reassigns Medicare benefits to 2 organizations: West Virginia University Medical Corporation (Morgantown, WV) and Fayette Physician Network Inc (Smithfield, PA). Each 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 George Bal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Bal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list George Bal 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 George Bal affiliated with any hospitals?

According to CMS data, George Bal is affiliated with Uniontown Hospital and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for George Bal was last updated on April 15, 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.