DR. ANTHONY H BALCOM MD
NPI 1487604906
Urology - Pediatric Urology in Hales Corners, WI

Q: What is Anthony Balcom's NPI number?

The NPI number for Anthony Balcom is 1487604906. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Anthony Balcom's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Balcom was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 12, 2006PECOS Enrolled

5250 S 108TH ST, HALES CORNERS, WI 53130(414) 525-2400(414) 525-2401 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, Nov 19, 2021, May 1, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Anthony H Balcom Md NPPES

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

DR. ANTHONY H BALCOM MD (NPI 1487604906) is an individual pediatric urology provider in Hales Corners, Wisconsin, licensed in Wisconsin (26912) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487604906

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. ANTHONY H BALCOMCredential: MD

Location Address5250 S 108TH STHales Corners, WI 53130-1321

Mailing Address5250 S 108th StHales Corners, WI 53130-1321 · (414) 525-2400 · Fax (414) 525-2401

Phone(414) 525-2400

Fax(414) 525-2401

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJune 26, 20264 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1487604906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in WI · 26912✔ Licensed in TX · V8461

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 26912 (WI)

5250 S 108TH ST, Hales Corners, WI 53130

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Secondary Practice Locations 3

Location 19000 W Wisconsin Ave, PEDIATRIC UROLOGYMilwaukee, WI 53226-4874 · Phone (414) 266-3794 · Fax (414) 266-1752

Location 24845 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 298-5444

Location 35400 Alameda Ave Bldg BEl Paso, TX 79905-2914 · Phone (915) 242-8402

Other Identifiers 2

Medicaid1487604906WI

Other007000261MHumana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Dr. Anthony H Balcom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Anthony Balcom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc

11 mi

Anesthesiology

2301 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1194473066 (414) 585-1000

Aurora Advanced Healthcare, Inc.

15 mi

Family Medicine

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Reassigned Medicare billing, Wisconsin enrollment
1,615 clinicians in this Medicare group

NPI 1265629133 (414) 352-3100

El Paso Children's Physician Group

1,267 mi

Specialist

5400 ALAMEDA AVE BLDG B
El Paso, TX 79905

Reassigned Medicare billing, Texas enrollment
59 clinicians in this Medicare group

NPI 1992067128 (915) 242-8402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier11 claims2,200 services$5.28 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 14

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

BRIANNA N KIRNBAUER B.A PSYCHOLOGY

Counselor (Mental Health)

5250 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 296-1730

DR. ELIZABETH HOOVER EICHE D.D.S.

Dentist (General Practice)

5250 S 108TH ST, SUITE 200
HALES CORNERS, WI 53130

Milwaukee County (414) 427-0900

BRIANNA RAE BUEHLER

Counselor (Professional)

5250 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 296-1730

AURORA MEDICAL GROUP, INC.

Durable Medical Equipment & Medical Supplies

5250 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 525-2400

SPORTS MEDICINE & ORTHOPEDIC CENTER, S.C.

Specialist

5250 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 647-0033

HEIDI STUCKEY LPC

Counselor (Professional)

5250 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 296-1730

DR. MICHAEL ADAM BURKHARDT D.M.D.

Dentist (General Practice)

5250 S 108TH ST, #200
HALES CORNERS, WI 53130

Milwaukee County (414) 427-0900

SAMANTHA BARTLETT MS, LPC

Counselor (Professional)

5250 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 296-1730

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 Anthony Balcom's NPI number?

The NPI number for Anthony Balcom is 1487604906. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Anthony Balcom located?

Anthony Balcom practices at 5250 S 108th St, Hales Corners, WI 53130. The listed phone number is (414) 525-2400.

What is Anthony Balcom's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Anthony Balcom enrolled in Medicare?

Yes. Anthony Balcom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthony Balcom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Balcom reassigns Medicare benefits to 3 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI) and El Paso Children's Physician Group (El Paso, TX). 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 Anthony Balcom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Balcom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Anthony Balcom 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 Anthony Balcom was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.