GREGORY J BALMFORTH MD
NPI 1780602367
Radiology - Diagnostic Radiology in Spokane, WA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
801 S STEVENS ST, SPOKANE, WA 99204(509) 747-4455(509) 363-7064 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory J Balmforth Md NPPES

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

GREGORY J BALMFORTH MD (NPI 1780602367) is an individual diagnostic radiology provider in Spokane, Washington, licensed in Washington (MD00047390) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2001).

NPPES Registry Identity

NPI1780602367
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGREGORY J BALMFORTHCredential: MD
Location Address801 S STEVENS STSpokane, WA 99204-2654
Mailing Address801 S Stevens StSpokane, WA 99204-2654 · (509) 747-4455 · Fax (509) 363-7064
Fax(509) 363-7064
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2001
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 22, 2013
NPI 1780602367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WA · MD00047390
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
801 S STEVENS ST, Spokane, WA 99204

Other Identifiers 1

Other1780602367WA · Npi

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

Gregory J Balmforth 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 ID4183628951
PECOS Enrollment IDI20070306000761, I20161206000929
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 58

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
8,736 services86 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
3,397 services44 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,365 services1,365 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,361 services1,361 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
836 services805 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
430 services426 patients

Hospital Affiliations CMS Care Compare 5

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

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%50 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%276 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%131 patients
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.

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.

Radiology (Diagnostic Radiology)
801 S STEVENS ST
SPOKANE, WA 99204
Radiology (Diagnostic Radiology)
801 S STEVENS ST
SPOKANE, WA 99204
Radiology (Diagnostic Radiology)
801 S STEVENS ST
SPOKANE, WA 99204
Radiology (Vascular & Interventional Radiology)
801 S STEVENS ST
SPOKANE, WA 99204
Nurse Practitioner (Adult Health)
801 S STEVENS ST
SPOKANE, WA 99204
Radiology (Diagnostic Radiology)
801 S STEVENS ST
SPOKANE, WA 99204
Radiology (Diagnostic Radiology)
801 S STEVENS ST
SPOKANE, WA 99204
Radiology (Diagnostic Radiology)
801 S STEVENS ST
SPOKANE, WA 99204

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 Gregory Balmforth's NPI number?

The NPI number for Gregory Balmforth is 1780602367. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Gregory Balmforth located?

Gregory Balmforth practices at 801 S Stevens St, Spokane, WA 99204. The listed phone number is (509) 747-4455.

What is Gregory Balmforth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gregory Balmforth enrolled in Medicare?

Yes. Gregory Balmforth 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 Gregory Balmforth accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Gregory Balmforth 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 Gregory Balmforth affiliated with any hospitals?

According to CMS data, Gregory Balmforth is affiliated with Samaritan Hospital, Prov Sacred Hrt Med Ctr & Childs Hosp., Kadlec Regional Medical Center, Summit Pacific Medical Center and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Balmforth was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.