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DR. RYAN PATRICK BALOGH M.D.
NPI 1891013652
Surgery in Grapevine, TX

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
1650 W. COLLEGE STREET, BOX # 54, BAYLOR SCOTT & WHITE GRAPEVINE, ATTN TRAUMA SERVICES, GRAPEVINE, TX 76051(817) 388-3600(817) 388-3610 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ryan Patrick Balogh M.d. NPPES

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

DR. RYAN PATRICK BALOGH M.D. (NPI 1891013652) is an individual surgery provider in Grapevine, Texas, licensed in Texas (Q4897) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and is a graduate of University Of Texas Medical School At Houston (2010).

NPPES Registry Identity

NPI1891013652
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RYAN PATRICK BALOGHCredential: M.D.
Location Address1650 W. COLLEGE STREET, BOX # 54, BAYLOR SCOTT & WHITE GRAPEVINE, ATTN TRAUMA SERVICESGrapevine, TX 76051-3565
Mailing AddressP.o. Box 961205Fort Worth, TX 76116-1205 · (817) 740-8400 · Fax (817) 378-3699
Phone(817) 388-3600
Fax(817) 388-3610
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2010
Enumeration DateMay 4, 2010
Last NPPES UpdateNovember 12, 2015
✔ NPI 1891013652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · Q4897
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.
1650 W. COLLEGE STREET, BOX # 54, Grapevine, TX 76051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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. Ryan Patrick Balogh M.d. 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 ID7012227697
PECOS Enrollment IDI20151111000806
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 Ryan Balogh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Care, P.L.L.C.
0.8 mi
Ophthalmology
2201 WESTGATE PLAZA
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1164588596 (817) 410-2030
Urgent Surgery Associates, P.A.
20 mi
Trauma Surgery
2710 SWISS AVENUE
Dallas, TX 75204
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Urgent Surgery Associates PA
  • 120 clinicians in this Medicare group
NPI 1326077082 (214) 821-1599

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 5

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.
76 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services46 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.
46 services44 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76051 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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

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

HITOMI SASO PA
Physician Assistant
1650 W. COLLEGE STREET, BOX # 54
GRAPEVINE, TX 76051
Tarrant County (817) 388-3600

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 Ryan Balogh's NPI number?

The NPI number for Ryan Balogh is 1891013652. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Ryan Balogh located?

Ryan Balogh practices at 1650 W. College Street, Box # 54 Baylor Scott & White Grapevine, Attn Trauma Services, Grapevine, TX 76051. The listed phone number is (817) 388-3600.

What is Ryan Balogh's specialty?

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

Is Ryan Balogh enrolled in Medicare?

Yes. Ryan Balogh 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 Ryan Balogh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Balogh reassigns Medicare benefits to 2 organizations: Texas Health Care, P.L.L.C. (Grapevine, TX) and Urgent Surgery Associates, P.A. (Dallas, TX). 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 Ryan Balogh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Balogh accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Ryan Balogh 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 Ryan Balogh affiliated with any hospitals?

According to CMS data, Ryan Balogh is affiliated with Baylor Scott & White Medical Center At Irving and Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Ryan Balogh was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.