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DALE A BALKOVEC DO
NPI 1952495970
Family Medicine in Maple Heights, OH

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
15003 TURNEY RD, MAPLE HEIGHTS, OH 44137(216) 663-7753(216) 663-0897 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dale A Balkovec Do NPPES

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

DALE A BALKOVEC DO (NPI 1952495970) is an individual family medicine provider in Maple Heights, Ohio, licensed in Ohio (34003692) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marymount Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1983).

NPPES Registry Identity

NPI1952495970
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDALE A BALKOVECCredential: DO
Location Address15003 TURNEY RDMaple Heights, OH 44137-4730
Mailing Address15003 Turney RoadMaple Heights, OH 44137 · (216) 663-7753 · Fax (216) 663-0897
Phone(216) 663-7753
Fax(216) 663-0897
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1983
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 18, 2011
✔ NPI 1952495970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34003692
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15003 TURNEY RD, Maple Heights, OH 44137
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Other Identifiers 8

Other000000136583OH · Anthem
OtherT03692OH · Summa
Medicare ID-Type UnspecifiedBA0566173
Other080039459OH · Railroad Medicare
Medicaid0588645OH
Medicare UPINA16038
Other341682240BA02OH · Emerald
Other9000017231OH · Hmp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.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

Dale A Balkovec Do 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 ID3678614377
PECOS Enrollment IDI20100104000102
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 3

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.

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.
458 services242 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
348 services178 patients
Physician or allowed practitioner 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 and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
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.

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44137 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers64 claims139 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims24 services$0.86 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims54 services$13.47 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$43.80 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$9.82 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims80 services$1.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

EUGENE S BALKOVEC DO
Family Medicine
15003 TURNEY RD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (216) 640-9525
MAPLE FAMILY PHYSICIANS INC
Family Medicine
15003 TURNEY RD
MAPLE HEIGHTS, OH 44137
Cuyahoga County (216) 663-7753

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 Dale Balkovec's NPI number?

The NPI number for Dale Balkovec is 1952495970. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Dale Balkovec located?

Dale Balkovec practices at 15003 Turney Rd, Maple Heights, OH 44137. The listed phone number is (216) 663-7753.

What is Dale Balkovec's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dale Balkovec enrolled in Medicare?

Yes. Dale Balkovec 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 Dale Balkovec accept?

Health plans from Oscar Insurance Corporation of Ohio list Dale Balkovec 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.

Is Dale Balkovec affiliated with any hospitals?

According to CMS data, Dale Balkovec is affiliated with Marymount Hospital, South Pointe Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Dale Balkovec was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.