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DR. MICHAEL S BALKIN MD
NPI 1861565780
Internal Medicine - Endocrinology, Diabetes & Metabolism in Huntington, NY

Active since November 16, 2006Opted out of Medicare · through Oct 1, 2027
191 EAST MAIN STREET, HUNTINGTON, NY 11743(631) 549-2525(516) 432-2831 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael S Balkin Md NPPES

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

DR. MICHAEL S BALKIN MD (NPI 1861565780) is an individual endocrinology, diabetes & metabolism provider in Huntington, New York, licensed in New York (120257) and active in the NPI registry since November 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861565780
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MICHAEL S BALKINCredential: MD
Location Address191 EAST MAIN STREETHuntington, NY 11743-2987
Mailing Address191 East Main StreetHuntington, NY 11743-2987 · (631) 549-2525 · Fax (516) 432-2831
Phone(631) 549-2525
Fax(516) 432-2831
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateJanuary 30, 2015
✔ NPI 1861565780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 120257
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
191 EAST MAIN STREET, Huntington, NY 11743
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Other Identifiers 2

Medicare UPINC09437
Medicare PIN38A091NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Michael S Balkin Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims47 services$6.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers50 claims50 services$197.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CHARLES J ROMANO DPM
Podiatrist
191 EAST MAIN STREET
HUNTINGTON, NY 11743
Suffolk County (631) 424-3338

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 Michael Balkin's NPI number?

The NPI number for Michael Balkin is 1861565780. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Michael Balkin located?

Michael Balkin practices at 191 East Main Street, Huntington, NY 11743. The listed phone number is (631) 549-2525.

What is Michael Balkin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Michael Balkin enrolled in Medicare?

No. Michael Balkin has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Balkin was last updated on January 30, 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.