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JORGE M BALAGUER M.D.
NPI 1649218934
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Stony Brook, NY

Active since June 02, 2006PECOS Enrolled
98.52/100
CMS Quality Rating
101 NICOLLS RD RM 80, STONY BROOK, NY 11794(631) 444-1820 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jorge M Balaguer M.d. NPPES

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

JORGE M BALAGUER M.D. (NPI 1649218934) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Stony Brook, New York, licensed in Tennessee (MD39371) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1649218934
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJORGE M BALAGUERCredential: M.D.
Location Address101 NICOLLS RD RM 80Stony Brook, NY 11794-6110
Mailing Address101 Nicolls Rd Rm 80Stony Brook, NY 11794-8191 · (631) 444-1820 · Fax (631) 444-8963
Phone(631) 444-1820
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 26, 2019
✔ NPI 1649218934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in TN · MD39371✔ Licensed in MA · 152790
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
101 NICOLLS RD RM 80, Stony Brook, NY 11794
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Secondary Practice Location 1

Location 175 Francis St, BWHBoston, MA 02115-6110 · Phone (617) 732-6569

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge M Balaguer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11794 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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.

ALEXANDRIA LUCAS PA-C
Physician Assistant
101 NICOLLS RD RM 80
STONY BROOK, NY 11794
Suffolk County (631) 444-1478
SOMAIR MALIK MD/MBA
Internal Medicine (Critical Care Medicine)
101 NICOLLS RD RM 80
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
DR. WEI JIE LI MD
Emergency Medicine
101 NICOLLS RD RM 80
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
DR. JONATHAN AUSTIN DEASSIS MD
Emergency Medicine
101 NICOLLS RD RM 80
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
MOHSEN AHMED MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 80
STONY BROOK, NY 11794
Suffolk County (631) 444-1116

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 Jorge Balaguer's NPI number?

The NPI number for Jorge Balaguer is 1649218934. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Jorge Balaguer located?

Jorge Balaguer practices at 101 Nicolls Rd Rm 80, Stony Brook, NY 11794. The listed phone number is (631) 444-1820.

What is Jorge Balaguer's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Jorge Balaguer enrolled in Medicare?

Yes. Jorge Balaguer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jorge Balaguer was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.