DR. KEVIN SCOTT BALTER MD
NPI 1568472520
Pain Medicine - Interventional Pain Medicine in Omaha, NE

Q: What is Kevin Balter's NPI number?

The NPI number for Kevin Balter is 1568472520. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Kevin Balter's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Balter was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 August 09, 2006PECOS EnrolledAccepts Medicare Assignment

825 N 90TH ST, OMAHA, NE 68114(402) 391-7246(402) 391-1302 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 12, 2025, Jul 16, 2021, Jun 29, 2021 (3 updates tracked since 2021).

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About Dr. Kevin Scott Balter Md NPPES

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

DR. KEVIN SCOTT BALTER MD (NPI 1568472520) is an individual interventional pain medicine provider in Omaha, Nebraska, licensed in Nebraska (24699) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Northeastern Ohio University College Of Medicine (1986).

NPPES Registry Identity

NPI1568472520

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. KEVIN SCOTT BALTERCredential: MD

Location Address825 N 90TH STOmaha, NE 68114-2702

Mailing Address825 N 90th StOmaha, NE 68114-2702 · (402) 391-7246 · Fax (402) 408-1783

Phone(402) 391-7246

Fax(402) 391-1302

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1986

Enumeration DateAugust 9, 2006

Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1568472520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in NE · 24699

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 24699 (NE)

825 N 90TH ST, Omaha, NE 68114

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Secondary Practice Locations 2

Location 12908 W 39th St, Suite D, Office AKearney, NE 68845-1225 · Phone (308) 236-0507 · Fax (308) 236-0509

Location 2825 N 90th StOmaha, NE 68114-2702 · Phone (402) 391-7246 · Fax (402) 391-1302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica.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

Dr. Kevin Scott Balter 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 ID2365332616

PECOS Enrollment IDI20080725000759

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 Reassignments

Medicare enrollment records show Kevin Balter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Pain Clinic PC

Same address

Interventional Pain Medicine

825 N 90TH ST
Omaha, NE 68114

Reassigned Medicare billing, Nebraska enrollment
16 clinicians in this Medicare group

NPI 1043482094 (402) 391-7246

Multicare Medical Group PC

7.4 mi

Pain Medicine

701 PINNACLE DR STE 105
Papillion, NE 68046

Reassigned Medicare billing, Nebraska enrollment
19 clinicians in this Medicare group

NPI 1144741406 (402) 505-7989

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 13

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.

57 services38 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.

54 services46 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

40 services27 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

37 services27 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

36 services24 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

36 services36 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

This procedure involves the use of imaging technology to accurately target and destroy nerves in the upper or middle spinal facet joints, which may be causing pain. Each additional facet joint treated follows the same process.

30 services11 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

28 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

28 services28 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

24 services16 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

16 services12 patients

A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

31%118 patients2/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

1%317 patients1/55-star benchmark: 85%

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.

96%1,106 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

85%283 patients4/55-star benchmark: 88%

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.

81%259 patients1/55-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.

57%687 patients3/55-star benchmark: 97%

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…

21%659 patients1/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

0%689 patients1/55-star benchmark: 88%

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…

60%687 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

7%687 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

28%687 patients

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.

Other Providers at the Same Location NPPES 19

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

MRS. ASHLEY J. HOMAN ARNP

Nurse Practitioner

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 391-7246

MIDWEST PAIN CLINIC PC

Pain Medicine (Interventional Pain Medicine)

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 391-7246

CHRISTEN RENEE MCCAULEY PHARM.D.

Pharmacist

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 614-6363

MIDWEST PAIN CLINICS LLC

Anesthesiology (Pain Medicine)

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 391-1302

HORIZON SPINE REHABILITATION INC

Prosthetic/Orthotic Supplier

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 393-9390

JOSEPH PHILLIP FROST CRNA

Nurse Anesthetist, Certified Registered

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 397-1180

STEPHANIE MARIE SIMON APRN

Nurse Practitioner (Family)

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 391-7246

GAC, INC.

Pharmacy

825 N 90TH ST
OMAHA, NE 68114

Douglas County (402) 614-6363

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 Kevin Balter's NPI number?

The NPI number for Kevin Balter is 1568472520. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Kevin Balter located?

Kevin Balter practices at 825 N 90th St, Omaha, NE 68114. The listed phone number is (402) 391-7246.

What is Kevin Balter's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Kevin Balter enrolled in Medicare?

Yes. Kevin Balter 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.

Which organizations bill Medicare for Kevin Balter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Balter reassigns Medicare benefits to 2 organizations: Midwest Pain Clinic PC (Omaha, NE) and Multicare Medical Group PC (Papillion, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Balter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Balter accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska and Medica list Kevin Balter 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 Kevin Balter was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.