FELICIA BALZANO MD
NPI 1467830711
Urology in Duarte, CA

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
1500 DUARTE RD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2023, Nov 12, 2020, Jun 23, 2020 and 1 more (4 updates tracked since 2016).

About Felicia Balzano Md NPPES

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

FELICIA BALZANO MD (NPI 1467830711) is an individual urology provider in Duarte, California, licensed in California (A168902) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1467830711
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameFELICIA BALZANOCredential: MD
Location Address1500 DUARTE RDDuarte, CA 91010-3012
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3200
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateDecember 5, 20234 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
NPI 1467830711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in CA · A168902 Licensed in MD · D98588 Licensed in WI · 82717
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1500 DUARTE RD, Duarte, CA 91010

Secondary Practice Location 1

Location 111110 Medical Campus Rd Ste 228Hagerstown, MD 21742-6727 · Phone (301) 733-0022

Accepted 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

Felicia Balzano Md 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 ID4688952328
PECOS Enrollment IDI20231215000246
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 9

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services26 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
20 services19 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.
19 services19 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers19 claims2,506 services$5.88 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
3 suppliers12 claims88 services$1.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Colon & Rectal Surgery
1500 DUARTE RD
DUARTE, CA 91010
Surgery (Surgical Oncology)
1500 DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 DUARTE RD
DUARTE, CA 91010
Dietitian, Registered
1500 DUARTE RD
DUARTE, CA 91010
Dietitian, Registered
1500 DUARTE RD
DUARTE, CA 91010
Dietitian, Registered
1500 DUARTE RD
DUARTE, CA 91010
Pharmacist (Oncology)
1500 DUARTE RD, DEPARTMENT OF PHARMACY SERVICES
DUARTE, CA 91010
Nurse Practitioner
1500 DUARTE RD
DUARTE, CA 91010

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 Felicia Balzano's NPI number?

The NPI number for Felicia Balzano is 1467830711. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Felicia Balzano located?

Felicia Balzano practices at 1500 Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Felicia Balzano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Felicia Balzano enrolled in Medicare?

Yes. Felicia Balzano 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 Felicia Balzano accept?

Health plans from Aspirus Health Plan, HealthPartners and Medica list Felicia Balzano 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 Felicia Balzano affiliated with any hospitals?

According to CMS data, Felicia Balzano is affiliated with Meritus Medical Center and Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Felicia Balzano was last updated on December 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.