PINAR GUMUS BALIKCIOGLU MD
NPI 1619269537
Pediatrics - Pediatric Endocrinology in Durham, NC

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
2100 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinar Gumus Balikcioglu Md NPPES

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

PINAR GUMUS BALIKCIOGLU MD (NPI 1619269537) is an individual pediatric endocrinology provider in Durham, North Carolina, licensed in North Carolina (2012-02290) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619269537
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NamePINAR GUMUS BALIKCIOGLUCredential: MD
Location Address2100 ERWIN RDDurham, NC 27705-3941
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 11, 2011
Last NPPES UpdateNovember 6, 2013
NPI 1619269537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in NC · 2012-02290
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 2012-02290 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 172818 (NC)
2100 ERWIN RD, Durham, NC 27705

Other Names 1

Former Name (1)Pinar Gumus Md

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

Pinar Gumus Balikcioglu 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 ID7214154343
PECOS Enrollment IDI20140813000390
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 27705 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Anesthesiology
2100 ERWIN RD
DURHAM, NC 27705
Internal Medicine (Nephrology)
2100 ERWIN RD
DURHAM, NC 27705
Internal Medicine
2100 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27705
Pediatrics (Neonatal-Perinatal Medicine)
2100 ERWIN RD
DURHAM, NC 27705
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27705
Anesthesiology (Pain Medicine)
2100 ERWIN RD
DURHAM, NC 27705

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 Pinar Gumus Balikcioglu's NPI number?

The NPI number for Pinar Gumus Balikcioglu is 1619269537. It was assigned to this individual provider in the NPPES registry on May 11, 2011. The provider is also known as Pinar Gumus MD.

Where is Pinar Gumus Balikcioglu located?

Pinar Gumus Balikcioglu practices at 2100 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Pinar Gumus Balikcioglu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Pinar Gumus Balikcioglu enrolled in Medicare?

Yes. Pinar Gumus Balikcioglu 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 Pinar Gumus Balikcioglu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Pinar Gumus Balikcioglu 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 Pinar Gumus Balikcioglu was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.