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DR. ERIC JOAQUIN BALAGUER MD
NPI 1679747067
Orthopaedic Surgery - Hand Surgery in Miami, FL

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
8905 SW 87TH AVE, SUITE 100, MIAMI, FL 33176(305) 667-8686(305) 667-8680 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Eric Joaquin Balaguer Md NPPES

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

DR. ERIC JOAQUIN BALAGUER MD (NPI 1679747067) is an individual hand surgery provider in Miami, Florida, licensed in Florida (ME108747) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1679747067
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. ERIC JOAQUIN BALAGUERCredential: MD
Location Address8905 SW 87TH AVE, SUITE 100Miami, FL 33176-2227
Mailing Address8905 Sw 87 Avenue, Suite 100Miami, FL 33176-2210 · (305) 667-8686 · Fax (305) 270-8989
Phone(305) 667-8686
Fax(305) 667-8680
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 16, 2008
Last NPPES UpdateOctober 1, 2013
✔ NPI 1679747067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in FL · ME108747
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 253066 (NY), 047689 (CT)
8905 SW 87TH AVE, Miami, FL 33176
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Other Identifiers 1

Medicare PINA100019202NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

Dr. Eric Joaquin Balaguer 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 ID6103978671
PECOS Enrollment IDI20120309000124
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.

Medicare Billing Reassignment

Medicare enrollment records show Eric Balaguer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ortho Florida, LLC
49 mi
Specialist
670 GLADES RD STE 190
Boca Raton, FL 33431
  • Reassigned Medicare billing, Florida enrollment
  • 129 clinicians in this Medicare group
NPI 1821113192 (561) 391-5515

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
34 services17 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
26 services17 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
25 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

LUIS OSORIO
Physician Assistant
8905 SW 87TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 661-3000
MISS VIVIAN MARIA PEREZ PA-C
Physician Assistant
8905 SW 87TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 667-8686
JANET SIERRA O.T.
Specialist
8905 SW 87TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 595-0855
MIAMI HAND CENTER, LLC
Clinic/Center (Ambulatory Surgical)
8905 SW 87TH AVE, SUITE 101
MIAMI, FL 33176
Miami-Dade County (305) 595-6280
MARIA CAROLINA ORBAY ARAN MD
Orthopaedic Surgery (Hand Surgery)
8905 SW 87TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 667-8686
ALEJANDRO ARGOTE OT
Specialist
8905 SW 87TH AVE, STE 100
MIAMI, FL 33176
Miami-Dade County (305) 661-3000
RODOVALDO MACIAS OAT
Specialist
8905 SW 87TH AVE, STE 100
MIAMI, FL 33176
Miami-Dade County (305) 661-3000
MIAMI HAND CENTER
Clinic/Center (Health Service)
8905 SW 87TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 661-3000

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 Eric Balaguer's NPI number?

The NPI number for Eric Balaguer is 1679747067. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Eric Balaguer located?

Eric Balaguer practices at 8905 SW 87th Ave Suite 100, Miami, FL 33176. The listed phone number is (305) 667-8686.

What is Eric Balaguer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Eric Balaguer enrolled in Medicare?

Yes. Eric Balaguer 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 organization bills Medicare for Eric Balaguer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Balaguer reassigns Medicare benefits to Ortho Florida, LLC (Boca Raton, FL). The 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 Eric Balaguer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Balaguer accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Eric Balaguer 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 Eric Balaguer was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.