PHILIP J BALIKIAN (M.D.) – Orthopaedic Surgery Physician, NPI 1407803687
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
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Provider Addresses for PHILIP J BALIKIAN (M.D.)
PO BOX 28199
SAN DIEGO, CA 921980199
Phone: (858) 613-8900
Type: Mailing
15611, Pomerado Road, Country Squire Estates, Poway, San Diego County, California, 92064, United States
POWAY, CA 920642437
Phone: (858) 613-8900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $276.
Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($99).
Total Amount
$276
General + Research + Ownership
Payments
12
Total payment records
General Amount
$276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $99 |
| DePuy Synthes Sales Inc. | $88 |
| Bioventus LLC | $67 |
| KCI USA, Inc. | $22 |
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: 2007-02-01
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 |
|---|---|---|---|---|
| I20070201000657 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 3,061 | 36 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 883 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 570 | 256 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 336 | 186 | $0 |
| 64640 | Destruction of peripheral nerve or branch | 145 | 23 | $0 |
Insurance plans in this area (ZIP 92198)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | WI | |
| Vascular Surgery | NY | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Physician Assistant | CA | |
| Qualified Audiologist | CA | |
| Orthopedic Surgery | CA |
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