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DR. RUSSELL P BALMER MD
NPI 1861699100
Psychiatry & Neurology - Psychiatry in Chesapeake, VA

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
816 GREENBRIER CIR STE 100, CHESAPEAKE, VA 23320(804) 207-6737(757) 301-8803 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Russell P Balmer Md NPPES

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

DR. RUSSELL P BALMER MD (NPI 1861699100) is an individual psychiatry provider in Chesapeake, Virginia, licensed in Virginia (0101250109) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1861699100
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RUSSELL P BALMERCredential: MD
Location Address816 GREENBRIER CIR STE 100Chesapeake, VA 23320-2645
Mailing Address816 Greenbrier Cir Ste 100Chesapeake, VA 23320-2645 · (804) 207-6737 · Fax (757) 301-8803
Phone(804) 207-6737
Fax(757) 301-8803
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 29, 2007
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1861699100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VA · 0101250109
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
816 GREENBRIER CIR STE 100, Chesapeake, VA 23320
Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 First Colonial RdVirginia Beach, VA 23454-2403 · Phone (301) 319-8361

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russell P Balmer 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 ID8224494067
PECOS Enrollment IDI20230519001979
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Russell Balmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Hospital Corporation Of Virginia Beach
11 mi
Psychiatric Hospital
1100 FIRST COLONIAL RD
Virginia Beach, VA 23454
  • Reassigned Medicare billing, Virginia enrollment
  • 18 clinicians in this Medicare group
NPI 1326071093 (757) 496-6000
Commonwealth Counseling Associates Inc
88 mi
Clinical
9202 CENTER OAK CT
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 239 clinicians in this Medicare group
NPI 1851345805 (804) 207-6737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

MRS. WILLAR M BAUM LCSW
Social Worker (Clinical)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (804) 207-6737
JENNA M PIPOLO LPC
Counselor (Professional)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 301-8747
JESSICA R COOPER LPC
Counselor (Professional)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (804) 207-6737
MRS. RACHEL FRAKER FIRMAN MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 694-4723
BROOKE TUGGLE
Social Worker (Clinical)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 694-4723
TIFFANY M ZALUSKY LPC
Counselor (Professional)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 301-8747
MRS. ROSHAWNA M STOKES LPC
Counselor (Professional)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (804) 207-6737
HANNAH M SHAW LPC-R
Counselor (Mental Health)
816 GREENBRIER CIR STE 100
CHESAPEAKE, VA 23320
Chesapeake City (844) 863-4621

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 Russell Balmer's NPI number?

The NPI number for Russell Balmer is 1861699100. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Russell Balmer located?

Russell Balmer practices at 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320. The listed phone number is (804) 207-6737.

What is Russell Balmer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Russell Balmer enrolled in Medicare?

Yes. Russell Balmer 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.

Which organizations bill Medicare for Russell Balmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Balmer reassigns Medicare benefits to 2 organizations: First Hospital Corporation Of Virginia Beach (Virginia Beach, VA) and Commonwealth Counseling Associates Inc (Mechanicsville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Balmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Balmer accept?

Health plans from Oscar Health list Russell Balmer 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.

When was this NPI record last updated?

The NPPES record for Russell Balmer was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.