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KIMBERLY M BALK MD
NPI 1902869027
Obstetrics & Gynecology in Phoenix, AZ

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
16611 S 40TH ST, STE 180, PHOENIX, AZ 85048(480) 785-2100(480) 785-2111 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly M Balk Md NPPES

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

KIMBERLY M BALK MD (NPI 1902869027) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (25549) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1996).

NPPES Registry Identity

NPI1902869027
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY M BALKCredential: MD
Location Address16611 S 40TH ST, STE 180Phoenix, AZ 85048
Mailing Address2545 W Frye Rd, Suite 9Chandler, AZ 85224-6273 · (480) 505-4258 · Fax (480) 275-8346
Phone(480) 785-2100
Fax(480) 785-2111
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1996
Enumeration DateApril 10, 2006
Last NPPES UpdateSeptember 5, 2018
✔ NPI 1902869027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 25549
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
16611 S 40TH ST, Phoenix, AZ 85048
Open in Google Maps ↗

Other Identifiers 1

Medicaid762139AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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

Kimberly M Balk 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 ID1951583723
PECOS Enrollment IDI20110315000958
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 Reassignment

Medicare enrollment records show Kimberly Balk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Contemporary Women's Care, PC
6.4 mi
Obstetrics & Gynecology
2545 W FRYE RD, SUITE 9
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
NPI 1396746624 (480) 505-4258

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 10

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
467 services467 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
467 services467 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
106 services106 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
56 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services36 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

TARA N. BECHER PA-C
Physician Assistant
16611 S 40TH ST, SUITE 100
PHOENIX, AZ 85048
Maricopa County (480) 610-6366
TREVOR CARR PT
Physical Therapist
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Maricopa County (480) 706-1199
TLC PEDIATRICS PLLC
Specialist
16611 S 40TH ST, SUITE# 160
PHOENIX, AZ 85048
Maricopa County (480) 940-8527
SPOONER PHYSICAL THERAPY & HAND REHAB, PC
Clinic/Center (Physical Therapy)
16611 S 40TH ST, SUITE 130
PHOENIX, AZ 85048
Maricopa County (480) 706-1199
MRS. DIANE K MATSUMOTO MD
Pediatrics
16611 S 40TH ST, STE 160
PHOENIX, AZ 85048
Maricopa County (480) 940-8527
RICHARD W WILSON MD
Obstetrics & Gynecology
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Maricopa County (480) 785-2100
HOLLY L CAMPBELL FNP-BC
Nurse Practitioner (Family)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Maricopa County (480) 785-2100
KAREN SUE PETTIT CRNFA
Registered Nurse (Registered Nurse First Assistant)
16611 S 40TH ST, SUITE 180
PHOENIX, AZ 85048
Maricopa County (480) 785-2100

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 Kimberly Balk's NPI number?

The NPI number for Kimberly Balk is 1902869027. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Kimberly Balk located?

Kimberly Balk practices at 16611 S 40th St Ste 180, Phoenix, AZ 85048. The listed phone number is (480) 785-2100.

What is Kimberly Balk's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Balk enrolled in Medicare?

Yes. Kimberly Balk 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 organization bills Medicare for Kimberly Balk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Balk reassigns Medicare benefits to Southwest Contemporary Women's Care, PC (Chandler, AZ). The 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 Kimberly Balk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Balk accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Kimberly Balk 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 Kimberly Balk was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.