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ATTILA BALOGH MD
NPI 1558310680
Internal Medicine in Bossier City, LA

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
63.17/100
CMS Quality Rating
2400 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111(318) 752-7820(318) 752-7825 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2022, Oct 3, 2022, Jun 17, 2021 (3 updates tracked since 2021).

About Attila Balogh Md NPPES

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

ATTILA BALOGH MD (NPI 1558310680) is an individual internal medicine provider in Bossier City, Louisiana, licensed in Louisiana (11274R) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Icahn School Of Medicine At Mount Sinai (1976).

NPPES Registry Identity

NPI1558310680
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameATTILA BALOGHCredential: MD
Location Address2400 HOSPITAL DR, SUITE 420Bossier City, LA 71111-2385
Mailing AddressPo Box 37822Shreveport, LA 71133-7822 · (318) 453-2050 · Fax (318) 752-7825
Phone(318) 752-7820
Fax(318) 752-7825
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1976
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1558310680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 11274R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2400 HOSPITAL DR, Bossier City, LA 71111
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Other Identifiers 1

Medicaid1666831LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Attila Balogh 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 ID6901804855
PECOS Enrollment IDI20061201000236
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 17

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,711 services249 patients
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.
748 services284 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
687 services172 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.
212 services133 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services114 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
111 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Springhill Medical Center

Acute Care Hospitals · Springhill, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190088
Location2001 Doctors DriveSpringhill, LA 71075 · Webster County
Emergency services

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Minden Medical Center

Acute Care Hospitals · Minden, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190144
LocationNo 1 Medical PlazaMinden, LA 71055 · Webster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

63.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.62
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,213 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%1,684 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%192 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%575 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%847 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%569 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

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
11 suppliers33 claims94 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims15 services$0.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers20 claims20 services$58.54 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$18.56 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers11 claims11 services$16.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers20 claims112 services$2.11 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.

CHARLES A POWERS MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
2400 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7910
WILLIS KNIGHTON MEDICAL CENTER, INC.
General Acute Care Hospital
2400 HOSPITAL DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7003
DIANA MAGPAYO LIM MD
Internal Medicine
2400 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7910
DR. TIMOTHY MARK HART M.D.
Obstetrics & Gynecology
2400 HOSPITAL DR, SUITE 240
BOSSIER CITY, LA 71111
Bossier Parish (318) 742-5800
MONICA N COLLINSWORTH CRNA
Nurse Anesthetist, Certified Registered
2400 HOSPITAL DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7000
NEALAN DEWAYNE PRATHER MD
Internal Medicine
2400 HOSPITAL DR, SUITE 420
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7910
DR. LAWRENCE JOSEPH PLANCHARD M.D.
Ophthalmology
2400 HOSPITAL DR, SUITE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7860
DR. THOMAS A. PLANCHARD M.D.
Ophthalmology
2400 HOSPITAL DR, SUITE 100
BOSSIER CITY, LA 71111
Bossier Parish (318) 212-7860

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 Attila Balogh's NPI number?

The NPI number for Attila Balogh is 1558310680. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Attila Balogh located?

Attila Balogh practices at 2400 Hospital Dr Suite 420, Bossier City, LA 71111. The listed phone number is (318) 752-7820.

What is Attila Balogh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Attila Balogh enrolled in Medicare?

Yes. Attila Balogh 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 Attila Balogh accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Attila Balogh 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.

Is Attila Balogh affiliated with any hospitals?

According to CMS data, Attila Balogh is affiliated with Christus Shreveport-Bossier Health System, Springhill Medical Center, Willis Knighton Medical Center and Minden Medical Center.

When was this NPI record last updated?

The NPPES record for Attila Balogh was last updated on December 8, 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.