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DR. JOHN R BALFANZ MD
NPI 1669452561
Pediatrics in St Paul, MN

Active since January 18, 2006PECOS Enrolled
233 GRAND AVE, ST PAUL, MN 55102(651) 227-7806(651) 256-6707 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 11, 2016, Sep 29, 2016 (2 updates tracked since 2016).

About Dr. John R Balfanz Md NPPES

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

DR. JOHN R BALFANZ MD (NPI 1669452561) is an individual pediatrics provider in St Paul, Minnesota, licensed in Minnesota (20262) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669452561
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JOHN R BALFANZCredential: MD
Location Address233 GRAND AVESt Paul, MN 55102
Mailing AddressEssentia Health Duluth Clinic - Mcl2cred, 400 East Third StreetDuluth, MN 55805-1951 · (218) 786-8319
Phone(651) 227-7806
Fax(651) 256-6707
Sole ProprietorYes
Enumeration DateJanuary 18, 2006
Last NPPES UpdateOctober 11, 20162 updates tracked since enumeration
✔ NPI 1669452561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 20262
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
233 GRAND AVE, St Paul, MN 55102
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Other Identifiers 2

Medicaid048087800MN
Medicare UPINF28474

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.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)

Dr. John R Balfanz Md 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 55102 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

SANA ZEKRI M.D.
Family Medicine
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200
EDDY URENA DO
Student in an Organized Health Care Education/Training Program
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200
YANA KHANEVSKA MD
Student in an Organized Health Care Education/Training Program
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200
NATALIE STEBBINS HEMMERICH
Family Medicine
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200
JUSTINE M CHATTERTON PHD LP
Psychologist (Counseling)
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200
JARED HANS MADSEN MD
Family Medicine
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200
DR. KIRSTEN LEANN ROBINETT DO
Student in an Organized Health Care Education/Training Program
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-1001
NATASHA VO MD
Student in an Organized Health Care Education/Training Program
233 GRAND AVE
SAINT PAUL, MN 55102
Ramsey County (651) 241-5200

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 John Balfanz's NPI number?

The NPI number for John Balfanz is 1669452561. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is John Balfanz located?

John Balfanz practices at 233 Grand Ave, St Paul, MN 55102. The listed phone number is (651) 227-7806.

What is John Balfanz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Balfanz enrolled in Medicare?

Yes. John Balfanz is registered in the Medicare PECOS enrollment system.

What insurance does John Balfanz accept?

Health plans from Blue Cross Blue Shield of North Dakota list John Balfanz 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 John Balfanz was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.