ANTHONY M BALISTRERI (M.D.) – Gastroenterology Physician, NPI 1851334692
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
524 GASTROENTEROLOGY in GA
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Provider Addresses for ANTHONY M BALISTRERI (M.D.)
2675, North Decatur Road, Scottdale, DeKalb County, Georgia, 30033, United States
SUITE 506
DECATUR, GA 300336131
Phone: (404) 299-1679
Fax: (404) 508-7694
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)
CMS reports 75 Open Payments records for all available years, with a total value of $1,552.
Total Amount is formed as General ($1,552) + Research ($0) + Ownership ($0) = $1,552.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($303).
Total Amount
$1,552
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,552
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-07-25
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 |
|---|---|---|---|---|
| I20120725000578 | I | Gastroenterology | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 110 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 71 | 71 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 67 | 67 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 59 | 58 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 55 | 52 | $0 |
Insurance plans in this area (ZIP 30033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | GA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 51 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA |
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