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DR. MARTIN J BALISH MD
NPI 1548262173
Ophthalmology in Portland, OR

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
92.68/100
CMS Quality Rating
9135 SW BARNES RD, SUITE 961, PORTLAND, OR 97225(503) 292-0848(503) 296-0635 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 20, 2023, Jan 21, 2022, Dec 13, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Martin J Balish Md NPPES

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

DR. MARTIN J BALISH MD (NPI 1548262173) is an individual ophthalmology provider in Portland, Oregon, licensed in Oregon (MD18909) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1548262173
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARTIN J BALISHCredential: MD
Location Address9135 SW BARNES RD, SUITE 961Portland, OR 97225-6646
Mailing AddressPo Box 22009Portland, OR 97269-2009 · (503) 558-7372 · Fax (503) 344-5514
Phone(503) 292-0848
Fax(503) 296-0635
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993
Enumeration DateAugust 12, 2005
Last NPPES UpdateJune 20, 20234 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1548262173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OR · MD18909
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9135 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Other Identifiers 1

Medicaid276658OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Dr. Martin J Balish 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 ID2567422181
PECOS Enrollment IDI20050907000075
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 11

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 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.
605 services515 patients
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.
250 services175 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
161 services139 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
140 services126 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
119 services83 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
108 services102 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

92.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.19
Promoting Interoperability100
Improvement Activities40
Cost76.42

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.

MEGAN LOCHER M.D.
Obstetrics & Gynecology
9135 SW BARNES RD, SUITE 761
PORTLAND, OR 97225
Washington County (503) 216-2602
GLYKERIA MANIS LCSW
Social Worker (Clinical)
9135 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MS. DONNA JEAN MAEBORI PT
Physical Therapist
9135 SW BARNES RD, SUITE 362
PORTLAND, OR 97225
Washington County (503) 216-8112
PROVIDENCE ST VINCENT MEDICAL CENTER
Clinic/Center
9135 SW BARNES RD, SUITE 161
PORTLAND, OR 97225
Washington County (503) 216-0246
DR. BETHANY MICHELLE MCCLENATHAN M.D.
Psychiatry & Neurology (Neurocritical Care)
9135 SW BARNES RD, SUITE 461
PORTLAND, OR 97225
Washington County (503) 216-1150
DR. DANIEL B BROWN MD
Ophthalmology
9135 SW BARNES RD, SUITE 961
PORTLAND, OR 97225
Washington County (503) 292-0848
DR. AMIT KANSARA MD
Psychiatry & Neurology (Vascular Neurology)
9135 SW BARNES RD, STE 461
PORTLAND, OR 97225
Washington County (503) 216-1150
MS. CORRINE MARY YOUNG M.S., CCC-SLP
Speech-Language Pathologist
9135 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2339

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 Martin Balish's NPI number?

The NPI number for Martin Balish is 1548262173. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Martin Balish located?

Martin Balish practices at 9135 SW Barnes Rd Suite 961, Portland, OR 97225. The listed phone number is (503) 292-0848.

What is Martin Balish's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Martin Balish enrolled in Medicare?

Yes. Martin Balish 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 Martin Balish accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Martin Balish 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 Martin Balish was last updated on June 20, 2023. 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.