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: August 09, 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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
145 services103 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.
91 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
72 services72 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.
57 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
21 services21 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

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.

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

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 Brenda Balthazor's NPI number?

The NPI number for Brenda Balthazor is 1851316871. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Brenda Balthazor located?

Brenda Balthazor practices at 512 S 28th Ave, Wausau, WI 54401. The listed phone number is (715) 847-2021.

What is Brenda Balthazor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brenda Balthazor enrolled in Medicare?

Yes. Brenda Balthazor 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 Brenda Balthazor accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Brenda Balthazor 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 Brenda Balthazor affiliated with any hospitals?

According to CMS data, Brenda Balthazor is affiliated with Aspirus Wausau Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Brenda Balthazor was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.