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GAMZE BALCI M.D.
NPI 1972738599
Psychiatry & Neurology - Psychiatry in Edina, MN

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
6565 FRANCE AVE S STE 350, EDINA, MN 55435(952) 999-4049(800) 398-1481 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2024, Jan 5, 2024, Aug 3, 2021 and 4 more (7 updates tracked since 2018).

About Gamze Balci M.d. NPPES

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

GAMZE BALCI M.D. (NPI 1972738599) is an individual psychiatry provider in Edina, Minnesota, licensed in Minnesota (55548) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edina, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972738599
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameGAMZE BALCICredential: M.D.
Location Address6565 FRANCE AVE S STE 350Edina, MN 55435-2159
Mailing Address6565 France Ave S Ste 350Edina, MN 55435-2159 · (952) 999-4049
Phone(952) 999-4049
Fax(800) 398-1481
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 27, 2009
Last NPPES UpdateDecember 18, 20247 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1972738599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MN · 55548
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6565 FRANCE AVE S STE 350, Edina, MN 55435
Open in Google Maps ↗

Secondary Practice Location 1

Location 16565 France Ave S Ste 350Edina, MN 55435-2159 · Phone (952) 999-4049

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Gamze Balci M.d. 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 ID5698925048
PECOS Enrollment IDI20121022000365
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 Gamze Balci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Three Sixty Health Inc
Same address
Psychiatry
6565 FRANCE AVE S STE 350
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1942066568 (952) 999-4049

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 7

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

ROCKET SURGERY, LLC
Clinic/Center
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (952) 999-9049
SOUTHDALE PHYSICIANS, LLC
Internal Medicine
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (612) 430-8120
MRS. ASHLEY PAIGE WILLETTE CNP
Nurse Practitioner (Primary Care)
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (952) 999-4049
DEBORAH M. NOWAK M.D.
Surgery
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (612) 389-1093
DOCTOR'S HOUSE
Clinic/Center
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (612) 836-9412
KINDRED HEALTH, LLC.
Clinic/Center (Primary Care)
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (952) 999-4049
THREE SIXTY HEALTH INC
Psychiatry & Neurology (Psychiatry)
6565 FRANCE AVE S STE 350
EDINA, MN 55435
Hennepin County (952) 999-4049

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 Gamze Balci's NPI number?

The NPI number for Gamze Balci is 1972738599. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Gamze Balci located?

Gamze Balci practices at 6565 France Ave S Ste 350, Edina, MN 55435. The listed phone number is (952) 999-4049.

What is Gamze Balci's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gamze Balci enrolled in Medicare?

Yes. Gamze Balci 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 Gamze Balci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gamze Balci reassigns Medicare benefits to Three Sixty Health Inc (Edina, MN). 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 Gamze Balci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gamze Balci accept?

Health plans from HealthPartners list Gamze Balci 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 Gamze Balci was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.