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DR. MICHELLE BALAS MD
NPI 1801055926
Family Medicine in Wilkes Barre, PA

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
1111 E END BLVD, WILKES BARRE, PA 18711(570) 824-3521 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michelle Balas Md NPPES

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

DR. MICHELLE BALAS MD (NPI 1801055926) is an individual family medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD441442) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1801055926
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHELLE BALASCredential: MD
Location Address1111 E END BLVDWilkes Barre, PA 18711
Mailing Address1111 E End BlvdWilkes Barre, PA 18711-0030 · (570) 824-3521
Phone(570) 824-3521
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 4, 2008
Last NPPES UpdateMay 18, 2018
✔ NPI 1801055926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD441442
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.
1111 E END BLVD, Wilkes Barre, PA 18711
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Other Names 1

Professional Name (2)Michelle Catena Md

Other Identifiers 2

Medicaid120735015PA
Other259889ZD7NPA · Medicare Pid

Accepted Insurance

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

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

Dr. Michelle Balas 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 ID5092961128
PECOS Enrollment IDI20120806000688
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 Reassignment

Medicare enrollment records show Michelle Balas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health Corporation Of Northeastern Pennsylvania
0.8 mi
Federally Qualified Health Center (FQHC)
276 EAST END CENTRE
Wilkes-barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
NPI 1437351640 (570) 825-8741

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

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

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.

MICHELE KOZIEL LSW
Social Worker
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MS. COLLEEN ANN LUTCHKO LCSW
Social Worker (Clinical)
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
TRINA PATEL
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
NICHOLAS CHARLES JAMES PA-C
Physician Assistant
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3451
ANDREW WILLS
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
CALLIE BLAIR ABRAMOWITZ PHARMD
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MARIA TERESA SCINICO MD
Internal Medicine (Pulmonary Disease)
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MR. PAUL J KANJORSKI RPH
Pharmacist
1111 E END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521

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 Michelle Balas's NPI number?

The NPI number for Michelle Balas is 1801055926. It was assigned to this individual provider in the NPPES registry on June 4, 2008. The provider is also known as Michelle Catena MD.

Where is Michelle Balas located?

Michelle Balas practices at 1111 E End Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 824-3521.

What is Michelle Balas's specialty?

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

Is Michelle Balas enrolled in Medicare?

Yes. Michelle Balas 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 organization bills Medicare for Michelle Balas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Balas reassigns Medicare benefits to Rural Health Corporation Of Northeastern Pennsylvania (Wilkes-barre, PA). The 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 Michelle Balas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Balas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michelle Balas 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 Michelle Balas affiliated with any hospitals?

According to CMS data, Michelle Balas is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Balas was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.