JEROEN PIETER BALLEDUX MD
NPI 1548429954
Plastic Surgery in Las Vegas, NV

Q: What is Jeroen Balledux's NPI number?

The NPI number for Jeroen Balledux is 1548429954. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Q: What is Jeroen Balledux's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Jeroen Balledux was last updated on December 30, 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.

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment

3196 S MARYLAND PKWY STE 425, LAS VEGAS, NV 89109(725) 205-0725(725) 204-5251 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2022, Apr 28, 2022, May 14, 2021 and 3 more (6 updates tracked since 2020).

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About Jeroen Pieter Balledux Md NPPES

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

JEROEN PIETER BALLEDUX MD (NPI 1548429954) is an individual plastic surgery provider in Las Vegas, Nevada, licensed in Nevada (20150) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1548429954

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameJEROEN PIETER BALLEDUXCredential: MD

Location Address3196 S MARYLAND PKWY STE 425Las Vegas, NV 89109-2318

Mailing AddressPo Box 100744Atlanta, GA 30384-0744

Phone(725) 205-0725

Fax(725) 204-5251

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 2, 2008

Last NPPES UpdateDecember 30, 20226 updates tracked since enumeration

NPPES CertifiedDecember 30, 2022

✔ NPI 1548429954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in NV · 20150✔ Licensed in GA · 86853

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

3196 S MARYLAND PKWY STE 425, Las Vegas, NV 89109

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Secondary Practice Location 1

Location 13186 S Maryland PkwyLas Vegas, NV 89109-2317 · Phone (706) 863-9595 · Fax (706) 447-7179

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.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

Jeroen Pieter Balledux 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 ID4183894520

PECOS Enrollment IDI20201215002535

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 Reassignment

Medicare enrollment records show Jeroen Balledux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunrise Mountainview Multispecialty Clinics, LLC

0.2 mi

Neurology

3131 LA CANADA ST STE 101
Las Vegas, NV 89169

Reassigned Medicare billing, Nevada enrollment
67 clinicians in this Medicare group

NPI 1043402522 (702) 961-7310

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

Areas of Expertise CMS Part B claims 3

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.

29 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

24 services22 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

16 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290003

Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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 8

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

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