DR. SAMUEL JACKSON BALIN (M.D., PH.D.) – Dermatology Physician, NPI 1518254481
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
Provider Addresses for DR. SAMUEL JACKSON BALIN (M.D., PH.D.)
860 BELTLINE RD
SPRINGFIELD, OR 974771091
Phone: (541) 344-4168
Fax: (458) 201-8510
Type: Mailing
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
200 MEDICAL PLZ STE 450
LOS ANGELES, CA 90095
Phone: (310) 825-6911
Fax: (310) 794-7005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,670.
Total Amount is formed as General ($1,670) + Research ($0) + Ownership ($0) = $1,670.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($323).
Total Amount
$1,670
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,670
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $323 |
| Janssen Biotech, Inc. | $301 |
| ABBVIE INC. | $240 |
| UCB, Inc. | $184 |
| GENZYME CORPORATION | $144 |
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: 2020-07-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200721001294 | I | Dermatology | OR | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,005 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 333 | 290 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 254 | 241 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 246 | 221 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 107 | 81 | $0 |
Insurance plans in this area (ZIP 97477)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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