LEIGH ALEXANDRA BALATGEK MMS, PA-C
NPI 1891456117
Physician Assistant - Medical in Round Rock, TX

Active since January 08, 2022PECOS EnrolledAccepts Medicare Assignment
1000 HERITAGE CENTER CIR STE 122, ROUND ROCK, TX 78664(512) 906-0168 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Jan 8, 2022 (2 updates tracked since 2022).

About Leigh Alexandra Balatgek Mms, Pa-c NPPES

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

LEIGH ALEXANDRA BALATGEK MMS, PA-C (NPI 1891456117) is an individual medical provider in Round Rock, Texas, licensed in Texas (PA15254) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891456117
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLEIGH ALEXANDRA BALATGEKCredential: MMS, PA-C
Location Address1000 HERITAGE CENTER CIR STE 122Round Rock, TX 78664-4463
Mailing Address1000 Heritage Center Cir Ste 122Round Rock, TX 78664-4463 · (512) 906-0168
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 8, 2022
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
NPI 1891456117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA15254
1000 HERITAGE CENTER CIR STE 122, Round Rock, TX 78664

Accepted 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

Leigh Alexandra Balatgek Mms, Pa-c 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 ID4789066168
PECOS Enrollment IDI20220802000416
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 8

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
286 services59 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
198 services46 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
41 services41 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
41 services21 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
32 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Other Providers at the Same Location NPPES 4

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

Family Medicine
1000 HERITAGE CENTER CIR STE 122
ROUND ROCK, TX 78664
Family Medicine
1000 HERITAGE CENTER CIR STE 122
ROUND ROCK, TX 78664
Internal Medicine
1000 HERITAGE CENTER CIR STE 122
ROUND ROCK, TX 78664
Nurse Practitioner (Gerontology)
1000 HERITAGE CENTER CIR STE 122
ROUND ROCK, TX 78664

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 Leigh Balatgek's NPI number?

The NPI number for Leigh Balatgek is 1891456117. It was assigned to this individual provider in the NPPES registry on January 8, 2022.

Where is Leigh Balatgek located?

Leigh Balatgek practices at 1000 Heritage Center Cir Ste 122, Round Rock, TX 78664. The listed phone number is (512) 906-0168.

What is Leigh Balatgek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Leigh Balatgek enrolled in Medicare?

Yes. Leigh Balatgek 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 Leigh Balatgek accept?

Health plans from Blue Cross and Blue Shield of Texas list Leigh Balatgek 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 Leigh Balatgek was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.