MS. BONNIE L BALZER (MD) – Clinical Pathology/Laboratory Medicine Physician, NPI 1649247602

MS. BONNIE L BALZER (MD) is a healthcare provider. based in Modesto, California. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. A78681 (CA). The NPI Number for MS. BONNIE L BALZER (MD) is 1649247602

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. BONNIE L BALZER (MD)
NPI
1649247602
Phone
(209) 577-1200
Address
4301 Northstar Way
Enumeration Date
8 March 2006
Last Update Date
17 June 2020

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9493333661
Graduation Year
2000 (26 years ago)
PAC ID
6709894041
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20060329000241
Address ID
CA926182341IR1XXXXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,584 PATHOLOGY in CA

Provider Addresses for MS. BONNIE L BALZER (MD)

  • 4301 Northstar Way

    Modesto, CA 953569262

    Phone: (209) 577-1200

    Fax: (209) 577-6517

    Type: Location

  • 3700, California Street, Jordan Park, San Francisco, California, 94118, United States

    SAN FRANCISCO, CA 941181618

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060329000241IPathologyCATBD
I20211115002462IPathologyTXTBD
I20220331001286IPathologyKSTBD
I20220407000436IPathologyFLTBD
I20221207003040IPathologyNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity2,1971,380$0
88341Special stained specimen slides to examine tissue, each additional procedure794170$0
88342Special stained specimen slides to examine tissue, initial procedure224206$0
88312Special stained specimen slides to identify organisms including interpretation and report209118$0
88304Pathology examination of tissue using a microscope, moderately low complexity190165$0
View full utilization report →

Insurance plans in this area (ZIP 95356)

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Provider's Procedures

MS. BONNIE L BALZER (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity133117
PATHOLOGYCA88312Special stained specimen slides to identify organisms including interpretation and report10081
PATHOLOGYCA88342Tissue or cell analysis by immunologic technique177139

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941106645View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCA
P A T H O L O G YNY
-CA
-CA
P A T H O L O G YMO
A N E S T H E S I O L O G YNY
Physician AssistantCA
Diagnostic RadiologyMA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Is MS. BONNIE L BALZER (MD) listed with a National Provider Identifier?
Yes — MS. BONNIE L BALZER (MD) has NPI 1649247602 on file in the registry.
Is there an active status for MS. BONNIE L BALZER (MD)?
For scheduling context, MS. BONNIE L BALZER (MD) is shown as active in the registry.
How would a patient describe MS. BONNIE L BALZER (MD)'s focus?
For MS. BONNIE L BALZER (MD), the primary taxonomy reads as Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MS. BONNIE L BALZER (MD) associated with Modesto?
Public fields place MS. BONNIE L BALZER (MD) around Modesto, California. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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