NANCY A. BALIN M.D., F.A.C.S.
NPI 1629073879
Ophthalmology in Northampton, MA

Q: What is Nancy Balin's NPI number?

The NPI number for Nancy Balin is 1629073879. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Nancy Balin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Balin was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 15, 2005PECOS Enrolled

64.89/100

CMS Quality Rating

269 LOCUST ST, NORTHAMPTON, MA 01062(413) 584-6666(413) 584-7428 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nancy A. Balin M.d., F.a.c.s. NPPES

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

NANCY A. BALIN M.D., F.A.C.S. (NPI 1629073879) is an individual ophthalmology provider in Northampton, Massachusetts, licensed in Massachusetts (56843) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1980).

NPPES Registry Identity

NPI1629073879

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNANCY A. BALINCredential: M.D., F.A.C.S.

Location Address269 LOCUST STNorthampton, MA 01062-2003

Mailing Address269 Locust StNorthampton, MA 01062-2003 · (413) 584-6666 · Fax (413) 584-7428

Phone(413) 584-6666

Fax(413) 584-7428

Sole ProprietorYes

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1980

Enumeration DateJune 15, 2005

Last NPPES UpdateMay 24, 2012

✔ NPI 1629073879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MA · 56843

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

269 LOCUST ST, Northampton, MA 01062

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Other Identifiers 4

Medicare UPINA58585MA

Medicaid3013367MA

Medicare ID-Type UnspecifiedBAJ05814MA

Medicare NSC1180930001MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy A. Balin M.d., F.a.c.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618943408

PECOS Enrollment IDI20080623000423

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 18

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

1,234 services29 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

640 services621 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

456 services192 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

450 services275 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

252 services227 patients

Removal of cataract with insertion of prosthetic lens 66984

229 services148 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

196 services187 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

134 services129 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

131 services130 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

81 services80 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.

70 services70 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

52 services46 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

43 services42 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.

35 services35 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

33 services29 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

20 services16 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

16 services13 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01062 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

64.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.2

Improvement Activities

Cost

94.72

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Other Providers at the Same Location NPPES 8

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

NANCY A BALIN MD F A C S

Ophthalmology

269 LOCUST ST
NORTHAMPTON, MA 01062

Hampshire County (413) 584-6666

DR. FUAD B MUDAWWAR MD

Allergy & Immunology (Allergy)

269 LOCUST ST, SUITE 201
FLORENCE, MA 01062

Hampshire County (413) 586-0769

NANCY A BALIN MD F A C S

Optometrist

269 LOCUST ST
NORTHAMPTON, MA 01062

Hampshire County (413) 584-6666

DR. MARTIN A. WOHL D.D.S.

Dentist (General Practice)

269 LOCUST ST
NORTHAMPTON, MA 01062

Hampshire County (413) 586-6180

DR. JONATHAN LEE BAYUK DO

Allergy & Immunology

269 LOCUST ST, SUITE 201
NORTHAMPTON, MA 01062

Hampshire County (413) 586-0769

MRS. ANGELA CHERNIAK O.D.

Optometrist

269 LOCUST ST
NORTHAMPTON, MA 01062

Hampshire County (413) 584-6666

DR. KAYLA KNOTTS OD

Optometrist

269 LOCUST ST
FLORENCE, MA 01062

Hampshire County (413) 584-6666

WOHL FAMILY DENTISTRY LLC

Dentist (General Practice)

269 LOCUST ST
NORTHAMPTON, MA 01062

Hampshire County (413) 586-6180

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 Nancy Balin's NPI number?

The NPI number for Nancy Balin is 1629073879. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Nancy Balin located?

Nancy Balin practices at 269 Locust St, Northampton, MA 01062. The listed phone number is (413) 584-6666.

What is Nancy Balin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nancy Balin enrolled in Medicare?

Yes. Nancy Balin is registered in the Medicare PECOS enrollment system.

What insurance does Nancy Balin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Nancy Balin 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 Nancy Balin affiliated with any hospitals?

According to CMS data, Nancy Balin is affiliated with Cooley Dickinson Hospital Inc,the and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Nancy Balin was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.