NICOLE NABORS BALMER MD
NPI 1497801070
Pathology - Anatomic Pathology & Clinical Pathology in Tallahassee, FL

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
73.51/100
CMS Quality Rating
2898 MAHAN DR STE 5, TALLAHASSEE, FL 32308(615) 221-4400 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Nabors Balmer Md NPPES

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

NICOLE NABORS BALMER MD (NPI 1497801070) is an individual anatomic pathology & clinical pathology provider in Tallahassee, Florida, licensed in Florida (ME107560) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Alabama School Of Medicine (2003).

NPPES Registry Identity

NPI1497801070
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameNICOLE NABORS BALMERCredential: MD
Location Address2898 MAHAN DR STE 5Tallahassee, FL 32308-5462
Mailing Address1010 Airpark Center DrNashville, TN 37217-5200 · (615) 221-4400
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2003
Enumeration DateJanuary 26, 2007
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
NPI 1497801070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in FL · ME107560 Licensed in AL · 28189
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL-833 (CO)
2898 MAHAN DR STE 5, Tallahassee, FL 32308

Secondary Practice Location 1

Location 13918 MONTCLAIR ROAD, STE 105BIRMINGHAM, AL 35213-2417 · Phone (615) 221-4400

Other Identifiers 7

Medicaid009910546AL
OtherP00810644AL · Railroad, Travelers
Medicaid009910548AL
Other051542020AL · Bcbs
Medicaid009910547AL
Other051542018AL · Bcbs
Other051542019AL · Bcbs

Accepted 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

Nicole Nabors Balmer 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 ID749374163
PECOS Enrollment IDI20070917000218
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 7

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,733 services4,328 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
531 services363 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
513 services320 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
289 services117 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
190 services166 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
95 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

73.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.83
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
2898 MAHAN DR STE 5
TALLAHASSEE, FL 32308
Social Worker (Clinical)
2898 MAHAN DR STE 5
TALLAHASSEE, FL 32308
Social Worker (Clinical)
2898 MAHAN DR STE 5
TALLAHASSEE, FL 32308
Psychologist (Clinical)
2898 MAHAN DR STE 5
TALLAHASSEE, FL 32308
Social Worker (Clinical)
2898 MAHAN DR STE 5
TALLAHASSEE, FL 32308

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 Nicole Balmer's NPI number?

The NPI number for Nicole Balmer is 1497801070. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Nicole Balmer located?

Nicole Balmer practices at 2898 Mahan Dr Ste 5, Tallahassee, FL 32308. The listed phone number is (615) 221-4400.

What is Nicole Balmer's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nicole Balmer enrolled in Medicare?

Yes. Nicole Balmer 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 Nicole Balmer accept?

Health plans from Blue Cross and Blue Shield of Alabama list Nicole Balmer 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 Nicole Balmer was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.