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DR. FRED J. BALIS MD
NPI 1861447625
Internal Medicine in Chesterfield, MO

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
222 S. WOODS MILL RD, SUITE 750 NORTH, CHESTERFIELD, MO 63017(314) 205-6600(314) 205-6172 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred J. Balis Md NPPES

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

DR. FRED J. BALIS MD (NPI 1861447625) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (2004018570) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Washington University School Of Medicine (1989).

NPPES Registry Identity

NPI1861447625
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRED J. BALISCredential: MD
Location Address222 S. WOODS MILL RD, SUITE 750 NORTHChesterfield, MO 63017-3625
Mailing Address222 S. Woods Mill Rd, Suite 750 NorthChesterfield, MO 63017-3625 · (314) 205-6600 · Fax (314) 205-6172
Phone(314) 205-6600
Fax(314) 205-6172
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1989
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 6, 2015
✔ NPI 1861447625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MO · 2004018570✔ Licensed in MO · R1P90
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
222 S. WOODS MILL RD, Chesterfield, MO 63017
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Other Identifiers 2

Medicare UPINF53355MO
Medicare PIN146940002MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Fred J. Balis 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 ID1850399718
PECOS Enrollment IDI20100827000769
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 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
26 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services19 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Fred Balis's NPI number?

The NPI number for Fred Balis is 1861447625. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Fred Balis located?

Fred Balis practices at 222 S. Woods Mill Rd Suite 750 North, Chesterfield, MO 63017. The listed phone number is (314) 205-6600.

What is Fred Balis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fred Balis enrolled in Medicare?

Yes. Fred Balis 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 Fred Balis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Fred Balis 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 Fred Balis affiliated with any hospitals?

According to CMS data, Fred Balis is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Fred Balis was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.