MR. THOMAS JOHN BALGA PA-C
NPI 1942312202
Physician Assistant in Bristol, CT

Active since August 31, 2006PECOS Enrolled
73.56/100
CMS Quality Rating
41 BREWSTER RD, BRISTOL, CT 06010(860) 585-3000 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thomas John Balga Pa-c NPPES

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

MR. THOMAS JOHN BALGA PA-C (NPI 1942312202) is an individual physician assistant in Bristol, Connecticut, licensed in Connecticut (000900) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942312202
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS JOHN BALGACredential: PA-C
Location Address41 BREWSTER RDBristol, CT 06010-5161
Mailing AddressPo Box 2699, Dept 200Hartford, CT 06146-2699 · (866) 898-7138 · Fax (616) 975-9824
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 19, 2007
NPI 1942312202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CT · 000900
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
41 BREWSTER RD, Bristol, CT 06010

Other Identifiers 1

Medicare UPINP04922

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Thomas John Balga Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Dietitian, Registered
41 BREWSTER RD
BRISTOL, CT 06010
Emergency Medicine
41 BREWSTER RD
BRISTOL, CT 06010
Psychiatric Unit
41 BREWSTER RD
BRISTOL, CT 06010
Anesthesiology
41 BREWSTER RD
BRISTOL, CT 06010
Student in an Organized Health Care Education/Training Program
41 BREWSTER RD
BRISTOL, CT 06010
Anesthesiology
41 BREWSTER RD
BRISTOL, CT 06010
Physician Assistant (Medical)
41 BREWSTER RD
BRISTOL, CT 06010
Internal Medicine
41 BREWSTER RD
BRISTOL, CT 06010

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 Thomas Balga's NPI number?

The NPI number for Thomas Balga is 1942312202. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Thomas Balga located?

Thomas Balga practices at 41 Brewster Rd, Bristol, CT 06010. The listed phone number is (860) 585-3000.

What is Thomas Balga's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Balga enrolled in Medicare?

Yes. Thomas Balga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Balga was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.