PERPEMELO BALASTA III DO
NPI 1548580624
Family Medicine in Thermal, CA

Active since June 11, 2010PECOS EnrolledAccepts Medicare Assignment
55497 VAN BUREN ST, THERMAL, CA 92274(760) 399-4526 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Perpemelo Balasta Iii Do NPPES

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

PERPEMELO BALASTA III DO (NPI 1548580624) is an individual family medicine provider in Thermal, California, licensed in California (13544) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (2010).

NPPES Registry Identity

NPI1548580624
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePERPEMELO BALASTA IIICredential: DO
Location Address55497 VAN BUREN STThermal, CA 92274-9412
Mailing Address4480 Utica Ridge Rd, Suite 160Bettendorf, IA 52722 · (563) 742-4850 · Fax (563) 742-4855
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2010
Enumeration DateJune 11, 2010
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
NPI 1548580624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 13544
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
55497 VAN BUREN ST, Thermal, CA 92274

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

Perpemelo Balasta Iii Do 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 ID2062698269
PECOS Enrollment IDI20150202001219
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92274 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims46 services$5.55 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 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
55497 VAN BUREN ST
THERMAL, CA 92274
Clinic/Center (Federally Qualified Health Center (FQHC))
55497 VAN BUREN ST
THERMAL, CA 92274
Clinic/Center (Federally Qualified Health Center (FQHC))
55497 VAN BUREN ST
THERMAL, CA 92274
Family Medicine
55497 VAN BUREN ST
THERMAL, CA 92274
Pediatrics
55497 VAN BUREN ST
THERMAL, CA 92274
Dentist (General Practice)
55497 VAN BUREN ST
THERMAL, CA 92274

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 Perpemelo Balasta's NPI number?

The NPI number for Perpemelo Balasta is 1548580624. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Perpemelo Balasta located?

Perpemelo Balasta practices at 55497 Van Buren St, Thermal, CA 92274. The listed phone number is (760) 399-4526.

What is Perpemelo Balasta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Perpemelo Balasta enrolled in Medicare?

Yes. Perpemelo Balasta 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.

When was this NPI record last updated?

The NPPES record for Perpemelo Balasta was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.