DR. SUSAN VIRGINIA BALMER (MD) – Internal Medicine Physician, NPI 1164640058
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for DR. SUSAN VIRGINIA BALMER (MD)
1414 W FAIR AVE
SUITE 201
MARQUETTE, MI 498552675
Phone: (906) 225-4500
Fax: (906) 225-3919
Type: Mailing
1414 W FAIR AVE STE 334
MARQUETTE, MI 498555407
Phone: (906) 225-4500
Fax: (906) 225-3919
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Amgen Inc. ($176).
Total Amount
$583
General + Research + Ownership
Payments
32
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $176 |
| Merck Sharp & Dohme LLC | $84 |
| AstraZeneca Pharmaceuticals LP | $72 |
| ABBVIE INC. | $47 |
| Bayer Healthcare Pharmaceuticals Inc. | $42 |
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: 2010-10-13
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 |
|---|---|---|---|---|
| I20101013000043 | I | Internal Medicine | MI | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 474 | 220 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 348 | 199 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 325 | 198 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 166 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 177 | 165 | $0 |
Insurance plans in this area (ZIP 49855)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Emergency Medicine | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Emergency Medicine | MI | |
| H E M A T O L O G Y | IL | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | MI |
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