MR. ERIC PAUL BALABAN
NPI 1730686650
Internal Medicine in Pittsburgh, PA

Active since April 08, 2018PECOS Enrolled
77.5/100
CMS Quality Rating
5230 CENTRE AVE, PITTSBURGH, PA 15232(412) 623-2121 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Eric Paul Balaban NPPES

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

MR. ERIC PAUL BALABAN (NPI 1730686650) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476040) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730686650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ERIC PAUL BALABAN
Location Address5230 CENTRE AVEPittsburgh, PA 15232-1304
Mailing Address5230 Centre AvePittsburgh, PA 15232-1304
Sole ProprietorNo
Enumeration DateApril 8, 2018
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1730686650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD476040
Definition
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.
5230 CENTRE AVE, Pittsburgh, PA 15232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Eric Paul Balaban 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eric Balaban reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5230 CENTRE AVENUE
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
1700 N BROAD ST
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Nurse Practitioner
5230 CENTRE AVE, 613 SCAIFE HALL
PITTSBURGH, PA 15232
Physical Therapist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Pharmacist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Anesthetist, Certified Registered
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner (Family)
5230 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Physician Assistant
5230 CENTRE AVE
PITTSBURGH, PA 15232

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 Balaban's NPI number?

The NPI number for Eric Balaban is 1730686650. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Eric Balaban located?

Eric Balaban practices at 5230 Centre Ave, Pittsburgh, PA 15232. The listed phone number is (412) 623-2121.

What is Eric Balaban's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eric Balaban enrolled in Medicare?

Yes. Eric Balaban is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Balaban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Balaban reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Temple Faculty Practice Plan Inc (Philadelphia, PA). Each 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 Balaban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Balaban was last updated on December 30, 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.