BRIAN R BALSIS (M.D.) – Anesthesiology Physician, NPI 1225035066

BRIAN R BALSIS (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 220428 (MA). The NPI Number for BRIAN R BALSIS (M.D.) is 1225035066

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN R BALSIS (M.D.)
NPI
1225035066
Phone
(508) 754-3566
Address
340 MAIN ST
Enumeration Date
7 July 2005
Last Update Date
5 October 2011

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5087711800
Graduation Year
2000 (26 years ago)
PAC ID
8224018247
Group Practice PAC ID
0749260933
Professional Enrollment ID
I20040721000983
Address ID
MA026015230HY27XXXSTXX300
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

2,323 ANESTHESIOLOGY in MA

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Provider Addresses for BRIAN R BALSIS (M.D.)

  • 340, Main Street, Leominster, Worcester County, Massachusetts, 01453, United States

    STE. 670

    WORCESTER, MA 016081604

    Phone: (508) 754-3566

    Fax: (508) 438-6364

    Type: Mailing

  • 10, Peter Cooper Drive, Parkwood Beach, Wareham, Plymouth County, Massachusetts, 02538, United States

    WAREHAM, MA 025712209

    Phone: (508) 273-4200

    Fax: (508) 273-4205

    Type: Location

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: 2004-07-21

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
I20040721000983IAnesthesiologyMATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4343$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00790Anesthesia for other procedure on upper abdomen1818$0
00813Anesthesia for procedure on small and large bowel using an endoscope1616$0
00840Anesthesia for other procedure on lower abdomen1616$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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Provider's Procedures

BRIAN R BALSIS (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1515

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: 0749260933View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)FL
-MA
-MA

Reviews

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Frequently asked questions

Where can patients find BRIAN R BALSIS (M.D.)'s NPI?
You can confirm BRIAN R BALSIS (M.D.) with NPI 1225035066; it appears in the national provider directory.
Does this profile mean BRIAN R BALSIS (M.D.) is currently active?
Yes — BRIAN R BALSIS (M.D.) appears active in the national provider directory.
What does BRIAN R BALSIS (M.D.) treat or focus on?
Patients typically see BRIAN R BALSIS (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRIAN R BALSIS (M.D.)?
The page summarizes Worcester, Massachusetts for BRIAN R BALSIS (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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