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DEBRA JANETTE BALKMAN MD
NPI 1740361583
Family Medicine in Clearwater, FL

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
2730 MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL 33761(727) 725-5224(727) 799-2183 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2021, May 5, 2021, Sep 1, 2020 and 2 more (5 updates tracked since 2016).

About Debra Janette Balkman Md NPPES

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

DEBRA JANETTE BALKMAN MD (NPI 1740361583) is an individual family medicine provider in Clearwater, Florida, licensed in Florida (ME97195) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1740361583
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEBRA JANETTE BALKMANCredential: MD
Location Address2730 MCMULLEN BOOTH ROAD, SUITE 201Clearwater, FL 33761
Mailing Address2730 N Mcmullen Booth Rd Ste 201Clearwater, FL 33761-3302 · (727) 725-5224 · Fax (727) 799-2183
Phone(727) 725-5224
Fax(727) 799-2183
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 12, 20215 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1740361583 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 · ME97195
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.
2730 MCMULLEN BOOTH ROAD, Clearwater, FL 33761
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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

Debra Janette Balkman 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 ID9537265731
PECOS Enrollment IDI20070504000255, I20260512000527
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 Debra Balkman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optumcare Florida LLC
10 mi
General Practice
5130 SUNFOREST DR STE 300
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 315 clinicians in this Medicare group
NPI 1053384214 (727) 824-0780
Centerwell Senior Primary Care (sc) PC
368 mi
Internal Medicine
1401 SAM RITTENBERG BLVD STE 6
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • 86 clinicians in this Medicare group
NPI 1740833938 (843) 973-5393

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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services13 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33761 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.

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 Debra Balkman's NPI number?

The NPI number for Debra Balkman is 1740361583. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Debra Balkman located?

Debra Balkman practices at 2730 Mcmullen Booth Road Suite 201, Clearwater, FL 33761. The listed phone number is (727) 725-5224.

What is Debra Balkman's specialty?

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

Is Debra Balkman enrolled in Medicare?

Yes. Debra Balkman 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 organizations bill Medicare for Debra Balkman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Balkman reassigns Medicare benefits to 2 organizations: Optumcare Florida LLC (Tampa, FL) and Centerwell Senior Primary Care (sc) PC (Charleston, SC). 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 Debra Balkman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Debra Balkman affiliated with any hospitals?

According to CMS data, Debra Balkman is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Debra Balkman was last updated on August 12, 2021. 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.