MIRTHA L BALCAZAR (M.D.) – Family Medicine Physician, NPI 1174515969
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,190 FAMILY PRACTICE in CA
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Provider Addresses for MIRTHA L BALCAZAR (M.D.)
Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
REDDING, CA 960496084
Phone: (530) 347-4867
Fax: (530) 347-5670
Type: Mailing
Jake's Take & Bake Pizza, 20633, Gas Point Road, Cottonwood, Shasta County, California, 96022, United States
COTTONWOOD, CA 960229296
Phone: (530) 347-4867
Fax: (530) 347-5670
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2023-09-21 • Largest payer in this snapshot: ABBVIE INC. ($123).
Total Amount
$123
General + Research + Ownership
Payments
1
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $123 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040924000459 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 72 | 62 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 63 | 47 | $0 |
| 81002 | Urinalysis, manual test | 42 | 37 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 32 | 29 | $0 |
Insurance plans in this area (ZIP 96049)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CA | |
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Mental Health Counselor | CA | |
| C H I R O P R A C T I C | CA | |
| Family Practice | CA |
Reviews
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