DR. EDWARD BALACI MD
NPI 1932177870
Radiology - Diagnostic Radiology in Johnson City, NY

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.73/100
CMS Quality Rating
32-36 HARRISON ST, JOHNSON CITY, NY 13790(607) 729-1999 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edward Balaci Md NPPES

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

DR. EDWARD BALACI MD (NPI 1932177870) is an individual diagnostic radiology provider in Johnson City, New York, licensed in New York (210748) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of State University Of Ny Upstate Medical University (1991).

NPPES Registry Identity

NPI1932177870
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. EDWARD BALACICredential: MD
Location Address32-36 HARRISON STJohnson City, NY 13790-2122
Mailing AddressPo Box 23Canajoharie, NY 13317-0023 · (607) 729-2125
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1991
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 27, 2019
✔ NPI 1932177870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 210748
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 210748 (NY)
32-36 HARRISON ST, Johnson City, NY 13790

Other Identifiers 1

Medicaid01890968NY

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. Edward Balaci 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 ID5496785750
PECOS Enrollment IDI20050816000873
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

3

Medicare enrollment records show Edward Balaci reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
Skilled Nursing Facility
179 N BROAD ST
Norwich, NY 13815
  • Reassigned Medicare billing, New York enrollment
  • 204 clinicians in this Medicare group
Critical Access Hospital
2 TITUS PL
Walton, NY 13856
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1417940719 (New York)
  • 82 clinicians in this Medicare group

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 31

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
237 services219 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
74 services74 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
70 services70 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
57 services53 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
52 services50 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
41 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331312
Location1 Titus PlaceWalton, NY 13856 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.01
Promoting Interoperability100
Improvement Activities40
Cost70.06

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%435 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Radiology (Diagnostic Radiology)
32-36 HARRISON ST
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
32-36 HARRISON ST
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
32-36 HARRISON ST
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
32-36 HARRISON ST
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
32-36 HARRISON ST
JOHNSON CITY, NY 13790

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 Edward Balaci's NPI number?

The NPI number for Edward Balaci is 1932177870. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Edward Balaci located?

Edward Balaci practices at 32-36 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 729-1999.

What is Edward Balaci's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edward Balaci enrolled in Medicare?

Yes. Edward Balaci 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 Edward Balaci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Balaci reassigns Medicare benefits to 3 organizations: United Health Services Hospitals, Inc. (Johnson City, NY), Chenango Memorial Hospital, Inc (Norwich, NY) and Delaware Valley Hospital, Inc (Walton, NY). 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 Edward Balaci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edward Balaci affiliated with any hospitals?

According to CMS data, Edward Balaci is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Chenango Memorial Hospital, United Health Services Hospitals, Inc and Delaware Valley Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Edward Balaci was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.