JOSEPH BALSAMO M.D.
NPI 1487650222
Internal Medicine in Guilford, CT

Q: What is Joseph Balsamo's NPI number?

The NPI number for Joseph Balsamo is 1487650222. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Joseph Balsamo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Balsamo was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 27, 2005PECOS EnrolledAccepts Medicare Assignment

90.74/100

CMS Quality Rating

1591 BOSTON POST RD STE 100, GUILFORD, CT 06437(203) 932-6481(203) 932-4051 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, May 26, 2021, Oct 8, 2020 (3 updates tracked since 2020).

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About Joseph Balsamo M.d. NPPES

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

JOSEPH BALSAMO M.D. (NPI 1487650222) is an individual internal medicine provider in Guilford, Connecticut, licensed in Connecticut (031839) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Haven, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1487650222

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJOSEPH BALSAMOCredential: M.D.

Location Address1591 BOSTON POST RD STE 100Guilford, CT 06437-4335

Mailing Address1 Cellini Pl Ste 102West Haven, CT 06516-1666 · (203) 932-6481 · Fax (203) 889-4953

Phone(203) 932-6481

Fax(203) 932-4051

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJune 27, 2005

Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1487650222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CT · 031839

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1591 BOSTON POST RD STE 100, Guilford, CT 06437

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Secondary Practice Location 1

Location 11 Cellini Pl Ste 102West Haven, CT 06516-1666 · Phone (203) 932-6481 · Fax (203) 889-4953

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

Joseph Balsamo 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 ID4880725365

PECOS Enrollment IDI20100628000231

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 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.

133 services83 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.

132 services86 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.

94 services90 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

69 services64 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

57 services53 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

46 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06437 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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.

90.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.27

Promoting Interoperability

100

Improvement Activities

Cost

58.92

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers16 claims36 services$6.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

DR. JEFFREY CARLTON ROESER MD

Internal Medicine