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JOHN DARRELL BALAZS DO
NPI 1962505933
Otolaryngology in Dayton, OH

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
425 W GRAND AVENUE, SUITE 2003, DAYTON, OH 45405(937) 723-5888(937) 226-0825 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Darrell Balazs Do NPPES

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

JOHN DARRELL BALAZS DO (NPI 1962505933) is an individual otolaryngology provider in Dayton, Ohio, licensed in Ohio (34005564) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and is a graduate of Ohio University, College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1962505933
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN DARRELL BALAZSCredential: DO
Location Address425 W GRAND AVENUE, SUITE 2003Dayton, OH 45405-4722
Mailing Address1290 Chisolm TrlDayton, OH 45458 · (937) 886-9481
Phone(937) 723-5888
Fax(937) 226-0825
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1991
Enumeration DateSeptember 6, 2006
Last NPPES UpdateFebruary 25, 2020
✔ NPI 1962505933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 34005564
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
425 W GRAND AVENUE, Dayton, OH 45405
Open in Google Maps ↗

Other Identifiers 1

Medicaid0382616OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

John Darrell Balazs 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 ID446325591
PECOS Enrollment IDI20080825000356
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 6

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,770 services39 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,204 services46 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.
285 services197 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.
141 services81 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
72 services56 patients
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433
This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.
19 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360026
Location1141 North Monroe DriveXenia, OH 45385 · Greene County
Emergency services

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

JOHN ALLAN BALAZS DO
Otolaryngology
425 W GRAND AVENUE, SUITE 2003
DAYTON, OH 45405
Montgomery County (937) 723-5888

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 John Balazs's NPI number?

The NPI number for John Balazs is 1962505933. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is John Balazs located?

John Balazs practices at 425 W Grand Avenue Suite 2003, Dayton, OH 45405. The listed phone number is (937) 723-5888.

What is John Balazs's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Balazs enrolled in Medicare?

Yes. John Balazs 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 John Balazs accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list John Balazs 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 John Balazs affiliated with any hospitals?

According to CMS data, John Balazs is affiliated with Kettering Health Greene Memorial, Kettering Health Dayton and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for John Balazs was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.