CARLOS DANIEL MARTINEZ BALZANO M.D.
NPI 1497073555
Internal Medicine - Pulmonary Disease in Syracuse, NY

Q: What is Carlos Martinez Balzano's NPI number?

The NPI number for Carlos Martinez Balzano is 1497073555. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Q: What is Carlos Martinez Balzano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since May 13, 2010PECOS EnrolledAccepts Medicare Assignment

750 E ADAMS ST, SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Nov 9, 2020, Oct 21, 2016 (3 updates tracked since 2016).

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About Carlos Daniel Martinez Balzano M.d. NPPES

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

CARLOS DANIEL MARTINEZ BALZANO M.D. (NPI 1497073555) is an individual pulmonary disease provider in Syracuse, New York, licensed in New York (281662) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497073555

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCARLOS DANIEL MARTINEZ BALZANOCredential: M.D.

Location Address750 E ADAMS ST, SUNY UPSTATE MEDICAL UNIVERSITYSyracuse, NY 13210-2306

Mailing Address750 E Adams StSyracuse, NY 13210-2306

Phone(315) 464-5540

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateMay 13, 2010

Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration

NPPES CertifiedNovember 9, 2020

✔ NPI 1497073555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NY · 281662

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 281662 (NY)

750 E ADAMS ST, Syracuse, NY 13210

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Other Identifiers 1

Medicaid04427083NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Daniel Martinez Balzano 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 ID1355574526

PECOS Enrollment IDI20230922001979

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 Carlos Martinez Balzano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In

Same address

Internal Medicine

750 E ADAMS ST
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
434 clinicians in this Medicare group

NPI 1063468239 (315) 464-4505

Upstate Community Medical, PC

2.7 mi

Hospitalist

4900 BROAD RD
Syracuse, NY 13215

Reassigned Medicare billing, New York enrollment
232 clinicians in this Medicare group

NPI 1689620163 (315) 492-5305

Southern California Permanente Medical Group

2,281 mi

Health Maintenance Organization

3527 W FLORIDA AVE
Hemet, CA 92545

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1013433465 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims66 services$1.55 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.

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