KARL ERACH BALSARA MD
NPI 1639490857
Neurological Surgery in Oklahoma City, OK

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
1000 N LINCOLN BLVD, OKLAHOMA CITY, OK 73104(405) 271-8888(405) 271-4921 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2022, Nov 24, 2020, Aug 29, 2018 and 2 more (5 updates tracked since 2017).

About Karl Erach Balsara Md NPPES

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

KARL ERACH BALSARA MD (NPI 1639490857) is an individual neurological surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (39738) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2010).

NPPES Registry Identity

NPI1639490857
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameKARL ERACH BALSARACredential: MD
Location Address1000 N LINCOLN BLVDOklahoma City, OK 73104-3252
Mailing Address1000 N Lincoln BlvdOklahoma City, OK 73104-3252 · (405) 271-8888 · Fax (405) 271-4921
Fax(405) 271-4921
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateDecember 7, 20225 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1639490857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in OK · 39738 Licensed in PA · MT197172 Licensed in IN · 01078566A
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1000 N LINCOLN BLVD, Oklahoma City, OK 73104

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

Karl Erach Balsara 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 ID9032419734
PECOS Enrollment IDI20220728003592
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 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Internal Medicine (Gastroenterology)
1000 N LINCOLN BLVD, SUITE 210
OKLAHOMA CITY, OK 73104
Neurological Surgery
1000 N LINCOLN BLVD, STE 400
OKLAHOMA CITY, OK 73104
Physician Assistant (Surgical)
1000 N LINCOLN BLVD, SUITE 400
OKLAHOMA CITY, OK 73104
Neurological Surgery
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Specialist
1000 N LINCOLN BLVD, SUITE 300
OKLAHOMA CITY, OK 73104
Internal Medicine (Medical Oncology)
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Pediatrics)
1000 N LINCOLN BLVD, STE 400
OKLAHOMA CITY, OK 73104

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 Karl Balsara's NPI number?

The NPI number for Karl Balsara is 1639490857. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Karl Balsara located?

Karl Balsara practices at 1000 N Lincoln Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-8888.

What is Karl Balsara's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Karl Balsara enrolled in Medicare?

Yes. Karl Balsara 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 Karl Balsara accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Karl Balsara 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 Karl Balsara was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.