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CHARLES BALKE PSY.D.
NPI 1790113009
Psychologist - Clinical in Fort Wayne, IN

Active since October 23, 2013PECOS EnrolledAccepts Medicare Assignment
7311A W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 471-8033(260) 471-8107 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Balke Psy.d. NPPES

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

CHARLES BALKE PSY.D. (NPI 1790113009) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20042479A) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pierceton, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1790113009
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCHARLES BALKECredential: PSY.D.
Location Address7311A W JEFFERSON BLVDFort Wayne, IN 46804-6237
Mailing Address7311a W Jefferson BlvdFort Wayne, IN 46804-6237 · (260) 471-8033 · Fax (260) 471-8107
Phone(260) 471-8033
Fax(260) 471-8107
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 23, 2013
Last NPPES UpdateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1790113009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20042479A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7311A W JEFFERSON BLVD, Fort Wayne, IN 46804
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Secondary Practice Location 1

Location 1208 S Maple StPierceton, IN 46562-9086 · Phone (574) 594-3815 · Fax (574) 594-1653

Accepted Insurance

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

Charles Balke Psy.d. 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 ID9537420013
PECOS Enrollment IDI20180223002315
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 5

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.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
70 services36 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
36 services36 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
36 services36 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
36 services36 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
35 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 Charles Balke's NPI number?

The NPI number for Charles Balke is 1790113009. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Charles Balke located?

Charles Balke practices at 7311A W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 471-8033.

What is Charles Balke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Charles Balke enrolled in Medicare?

Yes. Charles Balke 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 Charles Balke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list Charles Balke 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 Charles Balke was last updated on July 8, 2022. 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.