ANTHONY R BALZER MD
NPI 1588075360
Radiology - Diagnostic Radiology in Houston, TX

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
7200 CAMBRIDGE STREET, 10TH FLOOR, HOUSTON, TX 77030(713) 798-1750(713) 798-4693 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2022, Jul 5, 2019, Apr 10, 2019 (3 updates tracked since 2019).

About Anthony R Balzer Md NPPES

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

ANTHONY R BALZER MD (NPI 1588075360) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (S5316) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1588075360
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameANTHONY R BALZERCredential: MD
Location Address7200 CAMBRIDGE STREET, 10TH FLOORHouston, TX 77030-4202
Mailing Address1 Baylor Plz # Bcm360Houston, TX 77030-3411 · (713) 798-1303
Fax(713) 798-4693
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2014
Enumeration DateMay 14, 2014
Last NPPES UpdateApril 15, 20223 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1588075360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · S5316 Licensed in VA · 0101266497
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7200 CAMBRIDGE STREET, Houston, TX 77030

Secondary Practice Locations 3

Location 11240 Lee StCharlottesville, VA 22908-0817 · Phone (434) 243-6888 · Fax (434) 243-6999
Location 21215 Lee StCharlottesville, VA 22908-3411 · Phone (434) 297-5055 · Fax (434) 244-9489
Location 31504 Taub LoopHouston, TX 77030-1608 · Phone (713) 798-1750 ext. 2 · Fax (713) 798-4693

Accepted 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

Anthony R Balzer 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 ID6103159678
PECOS Enrollment IDI20190615000247, I20200617000519
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 31

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
204 services204 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
148 services148 patients
Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk 77089
Trabecular Bone Score (TBS) is a technique that uses imaging data to evaluate bone texture. It provides insight into bone strength, helping predict fracture risk. This information is then compiled into a report to aid in your bone health management.
143 services143 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
116 services82 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
100 services58 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
62 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Neurological Surgery
7200 CAMBRIDGE STREET, BCM 650
HOUSTON, TX 77030
Emergency Medicine
7200 CAMBRIDGE STREET
HOUSTON, TX 77030
Dietitian, Registered
7200 CAMBRIDGE STREET, 6TH FLOOR, MS BCM 511
HOUSTON, TX 77030
Hospitalist
7200 CAMBRIDGE STREET, 10TH FLOOR
HOUSTON, TX 77030
Psychiatry & Neurology (Clinical Neurophysiology)
7200 CAMBRIDGE STREET, SUITE 9A
HOUSTON, TX 77030
Anesthesiologist Assistant
7200 CAMBRIDGE STREET, 10TH FLOOR
HOUSTON, TX 77030
Hospitalist
7200 CAMBRIDGE STREET, 10TH FLOOR
HOUSTON, TX 77030
Internal Medicine (Hospice and Palliative Medicine)
7200 CAMBRIDGE STREET, 10TH FLOOR
HOUSTON, TX 77030

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 Anthony Balzer's NPI number?

The NPI number for Anthony Balzer is 1588075360. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Anthony Balzer located?

Anthony Balzer practices at 7200 Cambridge Street 10th Floor, Houston, TX 77030. The listed phone number is (713) 798-1750.

What is Anthony Balzer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Anthony Balzer enrolled in Medicare?

Yes. Anthony Balzer 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 Anthony Balzer accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Anthony Balzer 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 Anthony Balzer affiliated with any hospitals?

According to CMS data, Anthony Balzer is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, Harris Health System and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Anthony Balzer was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.