STEFAN BALCIUNAS PT, DPT
NPI 1629792890
Physical Therapist in Columbus, GA
About Stefan Balciunas Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEFAN BALCIUNAS PT, DPT (NPI 1629792890) is an individual physical therapist in Columbus, Georgia, licensed in North Carolina (CP015272T) and active in the NPI registry since September 2022. He is a graduate of University Of Texas Medical Branch At Galveston (2022).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted 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
Stefan Balciunas Pt, Dpt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stefan Balciunas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Marys, GA 31558
- Reassigned Medicare billing, Georgia enrollment
- 88 clinicians in this Medicare group
Bellingham, WA 98225
- Reassigned Medicare billing, Washington enrollment
- 14 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, GA 31904
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 Stefan Balciunas's NPI number?
The NPI number for Stefan Balciunas is 1629792890. It was assigned to this individual provider in the NPPES registry on September 30, 2022.
Where is Stefan Balciunas located?
Stefan Balciunas practices at 2045 Centre Stone Ct Ste B, Columbus, GA 31904. The listed phone number is (706) 507-3794.
What is Stefan Balciunas's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Stefan Balciunas enrolled in Medicare?
Yes. Stefan Balciunas 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 Stefan Balciunas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Balciunas reassigns Medicare benefits to 2 organizations: Advance Rehabilitation & Consulting Limited Partnership (Saint Marys, GA) and Bellingham Physical Therapy, PLLC (Bellingham, WA). 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 Stefan Balciunas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stefan Balciunas accept?
Health plans from Blue Cross and Blue Shield of NC, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stefan Balciunas 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 Stefan Balciunas was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.