MARSHALL BALK MD
NPI 1730141342
Orthopaedic Surgery - Hand Surgery in Wexford, PA

Q: What is Marshall Balk's NPI number?

The NPI number for Marshall Balk is 1730141342. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Marshall Balk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marshall Balk was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

47.51/100

CMS Quality Rating

6001 STONEWOOD DR, WEXFORD, PA 15090(724) 933-3850(724) 933-3860 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2020, Nov 5, 2020 (2 updates tracked since 2020).

On this page

About Marshall Balk Md NPPES

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

MARSHALL BALK MD (NPI 1730141342) is an individual hand surgery provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD057009L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1993).

NPPES Registry Identity

NPI1730141342

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameMARSHALL BALKCredential: MD

Location Address6001 STONEWOOD DRWexford, PA 15090-7380

Mailing Address6001 Stonewood DrWexford, PA 15090-7380 · (724) 933-3850 · Fax (724) 933-3860

Phone(724) 933-3850

Fax(724) 933-3860

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1993

Enumeration DateApril 6, 2006

Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1730141342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in PA · MD057009L

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.

6001 STONEWOOD DR, Wexford, PA 15090

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Other Identifiers 8

Other240818PA · Healthamerica/healthassurance

Other200038823PA · Railroad Medicare

Other374559PA · Blue Cross/blue Shield

Other248052PA · Blue Shield - Dme

Medicaid0016915860006PA

Other111985PA · Gateway Health Plan

Other25180380900WV · Wv Workers Compensation

Other5388626PA · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Marshall Balk 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 ID3173564937

PECOS Enrollment IDI20050523000080

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.

Areas of Expertise CMS Part B claims 22

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

677 services166 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

293 services189 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

144 services144 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

110 services69 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

104 services92 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

80 services62 patients

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.

70 services61 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.

62 services50 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

57 services43 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

57 services46 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

52 services45 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

48 services36 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

45 services33 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.

36 services20 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

34 services12 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.

33 services33 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

29 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services23 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

16 services14 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.

14 services12 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

13 services11 patients

Incision or the tendon covering on the top side of the wrist 25000

This procedure involves making a small cut on the top side of your wrist to access the tendon covering. It can alleviate pain or improve mobility. You may experience temporary discomfort but it's a common, safe procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390041

Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County

Emergency services

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390147

Location1163 Country Club RoadMonongahela, PA 15063 · Washington County

Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390334

Location12351 Perry HighwayWexford, PA 15090 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

47.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

43.29

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%822 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%699 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

0%1,646 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

100%4,595 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

79%1,095 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%2,418 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%4,595 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 1,217 patients

Patients screened: 97% · 1,217 patients

0%135 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

43%942 patients2/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,154 patients

Patients totalRate: 0% · 1,154 patients

0%1,154 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier52 claims55 services$48.38 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923

DME-Orthotic Devices · category DF000N

1 supplier16 claims18 services$69.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DIANA LYNN LITZENBERG RN

Registered Nurse (Orthopedic)

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (724) 933-3850

ERIN ELIZABETH CASEY AUD

Audiologist

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (715) 307-7467

LOGAN GABRIEL HOFFMAN PA-C

Physician Assistant (Surgical)

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (724) 933-3850

WILLIAM HAGBERG MD

Orthopaedic Surgery (Hand Surgery)

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (724) 933-3850

KIMBERLY KIVLAN OTR/L

Occupational Therapist (Hand)

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (724) 933-3850

RAYMOND G JUREWICZ PC

Specialist

6001 STONEWOOD DR, 2ND FLOOR
WEXFORD, PA 15090

Allegheny County (412) 731-0173

AARON GRAND MD

Orthopaedic Surgery (Hand Surgery)

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (724) 933-3850

DR. MARAH LEE SLACK

Occupational Therapist

6001 STONEWOOD DR
WEXFORD, PA 15090

Allegheny County (724) 933-3850

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 Marshall Balk's NPI number?

The NPI number for Marshall Balk is 1730141342. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Marshall Balk located?

Marshall Balk practices at 6001 Stonewood Dr, Wexford, PA 15090. The listed phone number is (724) 933-3850.

What is Marshall Balk's specialty?

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

Is Marshall Balk enrolled in Medicare?

Yes. Marshall Balk 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 Marshall Balk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marshall Balk 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 Marshall Balk affiliated with any hospitals?

According to CMS data, Marshall Balk is affiliated with Uniontown Hospital, Penn Highlands Mon Valley, Upmc Presbyterian Shadyside, Jefferson Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Marshall Balk was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.