DR. MICHAEL BALKUNAS (MD) – Psychiatry Physician, NPI 1023095916

DR. MICHAEL BALKUNAS (MD) is a healthcare provider. based in New britain, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 042831 (CT). The NPI Number for DR. MICHAEL BALKUNAS (MD) is 1023095916

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL BALKUNAS (MD)
NPI
1023095916
Phone
(860) 224-5305
Address
100 GRAND ST
Enumeration Date
30 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
8602245121
Graduation Year
1992 (34 years ago)
PAC ID
0648223404
Group Practice PAC ID
6507776564
Professional Enrollment ID
I20050222000461
Address ID
CT060522016NE100XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for DR. MICHAEL BALKUNAS (MD)

  • The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States

    NEW BRITAIN, CT 060522016

    Phone: (860) 224-5305

    Mailing address matches the actual address.

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: 2005-02-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050222000461IPsychiatryCTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11129$0
99239Hospital discharge day management, more than 30 minutes2724$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 06052)

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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: 6507776564View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL BALKUNAS (MD)?
For DR. MICHAEL BALKUNAS (MD), use NPI 1023095916 as the unique 10-digit identifier.
Would DR. MICHAEL BALKUNAS (MD) appear as active to a payer?
You can treat DR. MICHAEL BALKUNAS (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. MICHAEL BALKUNAS (MD)'s focus?
For DR. MICHAEL BALKUNAS (MD), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL BALKUNAS (MD) located near New Britain?
DR. MICHAEL BALKUNAS (MD) currently maps to New Britain, Connecticut in this extract.
Does DR. MICHAEL BALKUNAS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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