GERALD J BALSAM M.D.
NPI 1487729059
Psychiatry & Neurology - Psychiatry in Orlando, FL

Q: What is Gerald Balsam's NPI number?

The NPI number for Gerald Balsam is 1487729059. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Gerald Balsam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Gerald Balsam enrolled in Medicare?

No. Gerald Balsam has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gerald Balsam was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 21, 2006Opted out of Medicare · through Oct 1, 2026

736 N MAGNOLIA AVE, ADVANCED PSYCHIATRIC GROUP, P.A., ORLANDO, FL 32803(407) 423-7149(407) 422-0470 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gerald J Balsam M.d. NPPES

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

GERALD J BALSAM M.D. (NPI 1487729059) is an individual psychiatry provider in Orlando, Florida, licensed in Florida (ME23057) and active in the NPI registry since November 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487729059

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameGERALD J BALSAMCredential: M.D.

Location Address736 N MAGNOLIA AVE, ADVANCED PSYCHIATRIC GROUP, P.A.Orlando, FL 32803-3809

Mailing Address736 N Magnolia Ave, Advanced Psychiatric Group, P.a.Orlando, FL 32803-3809 · (407) 423-7149 · Fax (407) 422-0470

Phone(407) 423-7149

Fax(407) 422-0470

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateMay 1, 2009

✔ NPI 1487729059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in FL · ME23057✔ Licensed in FL · ME0023057

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

736 N MAGNOLIA AVE, Orlando, FL 32803

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Other Identifiers 3

Medicare PIN93676WFL

Medicare UPIND60541

Medicaid038468200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gerald J Balsam M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

RACHELL RENEE DAVIS PMHNP-BC

Nurse Practitioner (Family)