ANDREW H BALDER MD
NPI 1720188832
Internal Medicine in Springfield, MA
About Andrew H Balder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW H BALDER MD (NPI 1720188832) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (60192) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1979).
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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
Andrew H Balder 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Ctr
Acute Care Hospitals · Springfield, MABaystate Medical Center
Acute Care Hospitals · Springfield, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, MA 01109
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 Andrew Balder's NPI number?
The NPI number for Andrew Balder is 1720188832. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is Andrew Balder located?
Andrew Balder practices at 11 Wilbraham Rd, Springfield, MA 01109. The listed phone number is (413) 794-3710.
What is Andrew Balder's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Andrew Balder enrolled in Medicare?
Yes. Andrew Balder 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 Andrew Balder accept?
Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Andrew Balder 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.
Is Andrew Balder affiliated with any hospitals?
According to CMS data, Andrew Balder is affiliated with Mercy Medical Ctr and Baystate Medical Center.
When was this NPI record last updated?
The NPPES record for Andrew Balder was last updated on January 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
