DR. STEPHEN AARON BALFOUR M.D.
NPI 1609139591
Radiology - Vascular & Interventional Radiology in Fresno, CA

Active since June 17, 2012PECOS EnrolledAccepts Medicare Assignment
95.89/100
CMS Quality Rating
6191 N THESTA ST, FRESNO, CA 93710(209) 663-9446 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Aaron Balfour M.d. NPPES

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

DR. STEPHEN AARON BALFOUR M.D. (NPI 1609139591) is an individual vascular & interventional radiology provider in Fresno, California, licensed in California (A156014) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2012).

NPPES Registry Identity

NPI1609139591
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. STEPHEN AARON BALFOURCredential: M.D.
Location Address6191 N THESTA STFresno, CA 93710-5266
Mailing Address6191 N Thesta StFresno, CA 93710-5266 · (209) 663-9446
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2012
Enumeration DateJune 17, 2012
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1609139591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in CA · A156014
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A156014 (CA)
6191 N THESTA ST, Fresno, CA 93710

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

Dr. Stephen Aaron Balfour M.d. 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 ID2567711591
PECOS Enrollment IDI20180823002279
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 99

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
8,650 services86 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.
419 services419 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
311 services232 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
227 services227 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
209 services156 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
154 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

95.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.1

Other Providers at the Same Location NPPES 2

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

Nuclear Medicine (Nuclear Imaging & Therapy)
6191 N THESTA ST
FRESNO, CA 93710
Radiology (Diagnostic Radiology)
6191 N THESTA ST
FRESNO, CA 93710

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 Stephen Balfour's NPI number?

The NPI number for Stephen Balfour is 1609139591. It was assigned to this individual provider in the NPPES registry on June 17, 2012.

Where is Stephen Balfour located?

Stephen Balfour practices at 6191 N Thesta St, Fresno, CA 93710. The listed phone number is (209) 663-9446.

What is Stephen Balfour's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Stephen Balfour enrolled in Medicare?

Yes. Stephen Balfour 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 Stephen Balfour was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.