MIGUEL R BALFOUR MD
NPI 1841458270
Hospitalist in Greenwood, IN

Q: What is Miguel Balfour's NPI number?

The NPI number for Miguel Balfour is 1841458270. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Q: What is Miguel Balfour's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Balfour was last updated on December 8, 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.

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment

701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143(317) 885-2860(317) 885-2869 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 8, 2021, Mar 30, 2021 (2 updates tracked since 2021).

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About Miguel R Balfour Md NPPES

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

MIGUEL R BALFOUR MD (NPI 1841458270) is an individual hospitalist provider in Greenwood, Indiana, licensed in Indiana (01074634A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Indianapolis, and is a graduate of University Of Connecticut School Of Medicine (2008).

NPPES Registry Identity

NPI1841458270

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMIGUEL R BALFOURCredential: MD

Location Address701 E COUNTY LINE RD, SUITE 101Greenwood, IN 46143-1072

Mailing Address701 E County Line Rd, Suite 101Greenwood, IN 46143-1072 · (317) 885-2860 · Fax (317) 885-2869

Phone(317) 885-2860

Fax(317) 885-2869

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2008

Enumeration DateJune 2, 2008

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

NPPES CertifiedDecember 8, 2021

✔ NPI 1841458270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IN · 01074634A

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 01074634A (IN)

701 E COUNTY LINE RD, Greenwood, IN 46143

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Other Identifiers 1

Medicaid201285820IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Miguel R Balfour 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 ID7719156520

PECOS Enrollment IDI20150407000125

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

870 services336 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

121 services115 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

44 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$6.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers20 claims24 services$16.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers25 claims25 services$66.95 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$32.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ABHINAV SINGH MD

Internal Medicine