TODD PATRICK BALOG (MD) – Orthopaedic Surgery Physician, NPI 1851528293

TODD PATRICK BALOG (MD) is a healthcare provider. based in Fort campbell, Kentucky. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD483804 (PA). The NPI Number for TODD PATRICK BALOG (MD) is 1851528293

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TODD PATRICK BALOG (MD)
NPI
1851528293
Phone
(270) 798-8323
Address
650 JOEL DR
Enumeration Date
11 June 2009
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
2860766920
Group Practice PAC ID
4183511553
Professional Enrollment ID
I20240521002776
Address ID
PA153172593MC3928XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

505 ORTHOPEDIC SURGERY in KY

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Provider Addresses for TODD PATRICK BALOG (MD)

  • Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States

    ORTHOPAEDIC SURGERY

    FORT CAMPBELL, KY 422235318

    Phone: (270) 798-8323

    Type: Mailing

  • 1000 BOWER HILL RD

    PITTSBURGH, PA 152431873

    Phone: (412) 942-7262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,570.

Total Amount is formed as General ($1,570) + Research ($0) + Ownership ($0) = $1,570.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,400).

Total Amount

$1,570

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-21

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
I20240521002776IOrthopedic SurgeryPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42223)

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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: 4183511553View full group profile
NameSpecialtyState
Emergency MedicineFL
General SurgeryPA
Nurse PractitionerVA
P S Y C H I A T R YIL
Critical Care (Intensivists)NY
Physician AssistantPA
Internal MedicinePA
Internal MedicinePA
-PA
U R O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for TODD PATRICK BALOG (MD)?
The registry entry for TODD PATRICK BALOG (MD) shows NPI 1851528293.
Does the public listing show TODD PATRICK BALOG (MD) as active?
TODD PATRICK BALOG (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret TODD PATRICK BALOG (MD)'s specialty?
The extract shows Orthopaedic Surgery Physician for TODD PATRICK BALOG (MD). Clinical services aligned with this taxonomy classification.
Is TODD PATRICK BALOG (MD) tied to Fort Campbell, Kentucky?
If you are local to Fort Campbell, Kentucky, TODD PATRICK BALOG (MD) may be relevant to your search.
Why is information missing for TODD PATRICK BALOG (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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