BRENDA K BALTHAZOR PA
NPI 1851316871
Physician Assistant - Medical in Wausau, WI

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
83.2/100
CMS Quality Rating
512 S 28TH AVE, WAUSAU, WI 54401(715) 847-2021(715) 847-2325 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brenda K Balthazor Pa NPPES

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

BRENDA K BALTHAZOR PA (NPI 1851316871) is an individual medical provider in Wausau, Wisconsin, licensed in Wisconsin (186923) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1851316871
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBRENDA K BALTHAZORCredential: PA
Location Address512 S 28TH AVEWausau, WI 54401-4147
Mailing Address512 S 28th AveWausau, WI 54401-4147 · (715) 847-2021 · Fax (715) 847-2325
Fax(715) 847-2325
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
NPI 1851316871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 186923
512 S 28TH AVE, Wausau, WI 54401

Other Identifiers 1

Medicaid42871300WI

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

Brenda K Balthazor Pa 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 ID5092744078
PECOS Enrollment IDI20050810000355
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
128 services99 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
45 services32 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
42 services38 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
33 services29 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

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.

83.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.78
Promoting Interoperability100
Improvement Activities40
Cost63.24

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.

Otolaryngology
512 S 28TH AVE
WAUSAU, WI 54401
Allergy & Immunology (Allergy)
512 S 28TH AVE
WAUSAU, WI 54401
Otolaryngology
512 S 28TH AVE
WAUSAU, WI 54401
Otolaryngology
512 S 28TH AVE
WAUSAU, WI 54401
Allergy & Immunology
512 S 28TH AVE
WAUSAU, WI 54401
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
512 S 28TH AVE
WAUSAU, WI 54401
Audiologist
512 S 28TH AVE
WAUSAU, WI 54401
Audiologist
512 S 28TH AVE
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851316871, enumerated as an "individual" on July 12, 2006.

The provider is located at 512 S 28TH AVE WAUSAU, WI 54401 and the phone number is (715) 847-2021.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Brenda Balthazor is affiliated with: ASPIRUS WAUSAU HOSPITAL.