CORY BALKO CRNP
NPI 1891341673
Nurse Practitioner - Family in Wilkes Barre, PA

Q: What is Cory Balko's NPI number?

The NPI number for Cory Balko is 1891341673. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Q: What is Cory Balko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Cory Balko was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 16, 2019PECOS EnrolledAccepts Medicare Assignment

1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-6114(570) 808-6362 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2019, Aug 16, 2019 (2 updates tracked since 2019).

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About Cory Balko Crnp NPPES

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

CORY BALKO CRNP (NPI 1891341673) is an individual family provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP020687) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in East Stroudsburg.

NPPES Registry Identity

NPI1891341673

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCORY BALKOCredential: CRNP

Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 808-6114

Fax(570) 808-6362

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 16, 2019

Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2025

✔ NPI 1891341673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP020687

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License SP020687 (PA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License SP020687 (PA)

1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711

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Secondary Practice Location 1

Location 1206 E Brown StEast Stroudsburg, PA 18301-3006 · Phone (570) 421-4000 · Fax (570) 476-3786

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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

Cory Balko Crnp 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 ID2264761691

PECOS Enrollment IDI20190911000912

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 4

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.

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

54 services22 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

44 services39 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

25 services25 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

DR. KEVIN P BURKHARDT

Audiologist