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DR. THOMAS A. BALSBAUGH M.D.
NPI 1669457370
Family Medicine in Sacramento, CA

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
4860 Y ST, ACC 1600, SACRAMENTO, CA 95817(916) 734-3630(916) 734-5550 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas A. Balsbaugh M.d. NPPES

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

DR. THOMAS A. BALSBAUGH M.D. (NPI 1669457370) is an individual family medicine provider in Sacramento, California, licensed in California (A716070) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1995).

NPPES Registry Identity

NPI1669457370
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS A. BALSBAUGHCredential: M.D.
Location Address4860 Y ST, ACC 1600Sacramento, CA 95817-2307
Mailing Address4860 Y St, Acc 2300Sacramento, CA 95817-2307 · (916) 734-3615 · Fax (916) 734-5641
Phone(916) 734-3630
Fax(916) 734-5550
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1995
Enumeration DateDecember 14, 2005
Last NPPES UpdateDecember 21, 2021
✔ NPI 1669457370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A716070
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4860 Y ST, Sacramento, CA 95817
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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

Dr. Thomas A. Balsbaugh M.d. 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 ID941361521
PECOS Enrollment IDI20081202000472
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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

MICHELLE PALVOLGYI M.D.
Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
KATHRYN D NEWELL M.D.
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Sacramento County (916) 734-4843
DR. SARAH GONG MD
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Sacramento County (916) 734-3514
BRIAN JOVES M.D.
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
JAYLA WATKINS MD
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6978
JONATHAN BINDI MD
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6602
REGENTS OF THE UNIV OF CA
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6930
DR. SANDHYA VENUGOPAL M.D.
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817
Sacramento County (916) 734-3764

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 Thomas Balsbaugh's NPI number?

The NPI number for Thomas Balsbaugh is 1669457370. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Thomas Balsbaugh located?

Thomas Balsbaugh practices at 4860 Y St Acc 1600, Sacramento, CA 95817. The listed phone number is (916) 734-3630.

What is Thomas Balsbaugh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Balsbaugh enrolled in Medicare?

Yes. Thomas Balsbaugh 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.

When was this NPI record last updated?

The NPPES record for Thomas Balsbaugh was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.