1. Home
  2. Directory
  3. New Jersey
  4. Sewell
  5. Surgery
  6. NPI Profile

DR. LOUIS H BALSAMA D.O.
NPI 1861462939
Surgery in Sewell, NJ

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
239 HURFFVILLE CROSSKEYS RD STE 355, SEWELL, NJ 08080(856) 589-0600(856) 589-7979 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Apr 3, 2026, Oct 9, 2024 (3 updates tracked since 2024).

About Dr. Louis H Balsama D.o. NPPES

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

DR. LOUIS H BALSAMA D.O. (NPI 1861462939) is an individual surgery provider in Sewell, New Jersey, licensed in New Jersey (MB07912000) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Marlton.

NPPES Registry Identity

NPI1861462939
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LOUIS H BALSAMACredential: D.O.
Location Address239 HURFFVILLE CROSSKEYS RD STE 355Sewell, NJ 08080-4007
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 247-7210 · Fax (856) 247-7511
Phone(856) 589-0600
Fax(856) 589-7979
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1999
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1861462939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · MB07912000
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
239 HURFFVILLE CROSSKEYS RD STE 355, Sewell, NJ 08080
Open in Google Maps ↗

Secondary Practice Location 1

Location 1141 Route 70 E Ste CMarlton, NJ 08053-1855 · Phone (856) 341-8105 · Fax (856) 341-8106

Other Identifiers 1

Medicaid0074934NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Louis H Balsama D.o. 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 ID4688606338
PECOS Enrollment IDI20050902000254
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.

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.
32 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers16 claims430 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Louis Balsama's NPI number?

The NPI number for Louis Balsama is 1861462939. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Louis Balsama located?

Louis Balsama practices at 239 Hurffville Crosskeys Rd Ste 355, Sewell, NJ 08080. The listed phone number is (856) 589-0600.

What is Louis Balsama's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Louis Balsama enrolled in Medicare?

Yes. Louis Balsama 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 Louis Balsama accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Louis Balsama 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 Louis Balsama affiliated with any hospitals?

According to CMS data, Louis Balsama is affiliated with West Jersey Hospital.

When was this NPI record last updated?

The NPPES record for Louis Balsama was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.