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MICHAEL SAMUEL BALKIN MD
NPI 1487017000
Emergency Medicine in Conshohocken, PA

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
48 E RIDGE PIKE STE A, CONSHOHOCKEN, PA 19428(484) 243-6735 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 1, 2019, Apr 17, 2018 and 1 more (4 updates tracked since 2016).

About Michael Samuel Balkin Md NPPES

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

MICHAEL SAMUEL BALKIN MD (NPI 1487017000) is an individual emergency medicine provider in Conshohocken, Pennsylvania, licensed in Pennsylvania (MD485255) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and maintains a secondary practice location in Broomall.

NPPES Registry Identity

NPI1487017000
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL SAMUEL BALKINCredential: MD
Location Address48 E RIDGE PIKE STE AConshohocken, PA 19428-2117
Mailing Address48 E Ridge Pike Ste AConshohocken, PA 19428-2117 · (484) 243-6735
Phone(484) 243-6735
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateOctober 17, 20244 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1487017000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD485255✔ Licensed in TX · R5355
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
48 E RIDGE PIKE STE A, Conshohocken, PA 19428
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Secondary Practice Location 1

Location 11991 Sproul Rd Ste 130Broomall, PA 19008-3512 · Phone (484) 565-1293

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Michael Samuel Balkin 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 ID5597048470
PECOS Enrollment IDI20240905004516
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 5

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 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.
57 services55 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.
35 services35 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services14 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.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19428 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Balkin's NPI number?

The NPI number for Michael Balkin is 1487017000. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Michael Balkin located?

Michael Balkin practices at 48 E Ridge Pike Ste A, Conshohocken, PA 19428. The listed phone number is (484) 243-6735.

What is Michael Balkin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Balkin enrolled in Medicare?

Yes. Michael Balkin 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 Michael Balkin accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Balkin 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 Michael Balkin affiliated with any hospitals?

According to CMS data, Michael Balkin is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Michael Balkin was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.