CONSTANTINE A BALOURIS MD
NPI 1851478531
Ophthalmology in Butler, PA

Q: What is Constantine Balouris's NPI number?

The NPI number for Constantine Balouris is 1851478531. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Constantine Balouris's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

102 TECHNOLOGY DR, SUITE 120, BUTLER, PA 16001(724) 482-0090(724) 482-0093 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Constantine A Balouris Md NPPES

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

CONSTANTINE A BALOURIS MD (NPI 1851478531) is an individual ophthalmology provider in Butler, Pennsylvania, licensed in Pennsylvania (BB4299447) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1988).

NPPES Registry Identity

NPI1851478531

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameCONSTANTINE A BALOURISCredential: MD

Location Address102 TECHNOLOGY DR, SUITE 120Butler, PA 16001-1782

Mailing Address102 Technology Dr, Suite 120Butler, PA 16001-1782 · (724) 482-0090 · Fax (724) 482-0093

Phone(724) 482-0090

Fax(724) 482-0093

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1988

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1851478531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · BB4299447

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

102 TECHNOLOGY DR, Butler, PA 16001

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Other Identifiers 5

OtherPO38282-A003PA · Champus

Medicare UPING27582PA

Medicare ID-Type Unspecified435775UJSPA

Other1186970001PA · Dme

Medicaid0016271000005PA

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

Constantine A Balouris 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 ID8729010160

PECOS Enrollment IDI20050907000105

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 14

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

386 services363 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

240 services141 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

235 services159 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

217 services199 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

163 services126 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

152 services152 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

86 services81 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

75 services73 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

54 services47 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services26 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

19 services19 patients

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.

17 services15 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

16 services16 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

99.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUNG-CHI HO MD

Radiology (Radiation Oncology)

102 TECHNOLOGY DR, SUITE 110
BUTLER, PA 16001

Butler County (724) 482-2679

LISA L ELLIS MPAS, PA-C

Physician Assistant

102 TECHNOLOGY DR, SUITE 230
BUTLER, PA 16001

Butler County (877) 661-3376

MELISSA A DERENZO MD

Ophthalmology

102 TECHNOLOGY DR, SUITE 120
BUTLER, PA 16001

Butler County (724) 482-0090

MRS. DENISE CABLE MCKEAN C.R.N.P.

Nurse Practitioner

102 TECHNOLOGY DR, SUITE 230
BUTLER, PA 16001

Butler County (724) 482-0095

DAVID A COWAN MD

Dermatology

102 TECHNOLOGY DR, SUITE 230 BENBROOK MEDICAL CENTER 1
BUTLER, PA 16001

Butler County (877) 661-3376

BUTLER MEDICAL PROVIDERS

Surgery

102 TECHNOLOGY DR, SUITE 210
BUTLER, PA 16001

Butler County (724) 482-0191

KELLY M GAERTNER PHARMD

Pharmacist

102 TECHNOLOGY DR, SUITE 110
BUTLER, PA 16001

Butler County (412) 770-3585

RICHARD F. LATUSKA, M.D.

Internal Medicine (Gastroenterology)

102 TECHNOLOGY DR, SUITE 230
BUTLER, PA 16001

Butler County (724) 482-0095

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 Constantine Balouris's NPI number?

The NPI number for Constantine Balouris is 1851478531. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Constantine Balouris located?

Constantine Balouris practices at 102 Technology Dr Suite 120, Butler, PA 16001. The listed phone number is (724) 482-0090.

What is Constantine Balouris's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Constantine Balouris enrolled in Medicare?

Yes. Constantine Balouris 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.

Is Constantine Balouris affiliated with any hospitals?

According to CMS data, Constantine Balouris is affiliated with Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Constantine Balouris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.