ROBERT B BALBIS D.O.
NPI 1730153552
Family Medicine in Lake City, FL

Active since February 16, 2006PECOS Enrolled
88.74/100
CMS Quality Rating
619 S MARION AVE, LAKE CITY, FL 32025(386) 755-3016 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert B Balbis D.o. NPPES

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

ROBERT B BALBIS D.O. (NPI 1730153552) is an individual family medicine provider in Lake City, Florida, licensed in Florida (OS9135) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730153552
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT B BALBISCredential: D.O.
Location Address619 S MARION AVELake City, FL 32025-5808
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6144
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1730153552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS9135
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.
619 S MARION AVE, Lake City, FL 32025

Other Identifiers 1

Medicaid269305400FL

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 (PECOS)

Robert B Balbis D.o. 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.

Areas of Expertise CMS Part B claims 30

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.
719 services311 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
398 services242 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
373 services240 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
348 services228 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
250 services152 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
221 services166 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

88.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.71
Promoting Interoperability85
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%36 patients
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%87 patients
Breast Cancer Screening
10%284 patients1/55-star benchmark: 93%
Cervical Cancer Screening
3%292 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
4%784 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
81%527 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
31%227 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%226 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,315 patients4/55-star benchmark: 100%
e-Prescribing
100%2,380 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
84%459 patients4/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%23 patients
HIV Screening
0%897 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
68%1,319 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2%1,096 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,580 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 69% · 1,262 patients
Patients screened: 72% · 1,262 patients
58%112 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%786 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%411 patients3/55-star benchmark: 91%
Support Electronic Referral Loops By Sending Health Information
29%255 patients2/55-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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers23 claims63 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims16 services$1.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers17 claims17 services$63.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers11 claims11 services$20.25 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers12 claims12 services$17.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims86 services$2.69 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.

Registered Nurse (Continuing Education/Staff Development)
619 S MARION AVE
LAKE CITY, FL 32025
Pharmacist
619 S MARION AVE
LAKE CITY, FL 32025
Respiratory Therapist, Registered
619 S MARION AVE
LAKE CITY, FL 32025
Pharmacist
619 S MARION AVE
LAKE CITY, FL 32025
Internal Medicine
619 S MARION AVE
LAKE CITY, FL 32025
Kinesiotherapist
619 S MARION AVE
LAKE CITY, FL 32025
Kinesiotherapist
619 S MARION AVE
LAKE CITY, FL 32025
Dental Hygienist
619 S MARION AVE
LAKE CITY, FL 32025

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 Robert Balbis's NPI number?

The NPI number for Robert Balbis is 1730153552. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Robert Balbis located?

Robert Balbis practices at 619 S Marion Ave, Lake City, FL 32025. The listed phone number is (386) 755-3016.

What is Robert Balbis's specialty?

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

Is Robert Balbis enrolled in Medicare?

Yes. Robert Balbis is registered in the Medicare PECOS enrollment system.

What insurance does Robert Balbis accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Robert Balbis 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 Robert Balbis was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.