ANTHONY J BALSAMO (MD) – Orthopaedic Surgery Physician, NPI 1104812239

ANTHONY J BALSAMO (MD) is a healthcare provider. based in Danville, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD036494L (PA). The NPI Number for ANTHONY J BALSAMO (MD) is 1104812239

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY J BALSAMO (MD)
NPI
1104812239
Phone
(570) 271-6144
Address
100 N ACADEMY AVE
Enumeration Date
23 September 2005
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
5708081093
Graduation Year
1974 (52 years ago)
PAC ID
1850366519
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20040827000173
Address ID
PA187027906WI1175XBLVD402

Contacts

Secure Messaging
abalsamo75676@direct.geisinger.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,621 ORTHOPEDIC SURGERY in PA

Provider Addresses for ANTHONY J BALSAMO (MD)

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

  • 1175 E MOUNTAIN BLVD

    WILKES BARRE, PA 187027906

    Phone: (570) 808-1093

    Fax: (570) 808-7878

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $567.

Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Stryker Corporation ($516).

Total Amount

$567

General + Research + Ownership

Payments

9

Total payment records

General Amount

$567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

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: 2004-08-27

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
I20040827000173IOrthopedic 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6449$0
99214Established patient office or other outpatient visit, 30-39 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 17822)

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Provider's Procedures

ANTHONY J BALSAMO (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA20610Aspiration and/or injection of large joint or joint capsule4435

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: 5395657001View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ANTHONY J BALSAMO (MD)?
NPI 1104812239 is assigned to ANTHONY J BALSAMO (MD) under the national enumeration system.
Is ANTHONY J BALSAMO (MD) active in the national directory?
ANTHONY J BALSAMO (MD)'s public NPI profile is in an active state.
Can you summarize ANTHONY J BALSAMO (MD)'s specialty in plain language?
Clinically, the directory lists ANTHONY J BALSAMO (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for ANTHONY J BALSAMO (MD)?
We surface Danville, Pennsylvania for ANTHONY J BALSAMO (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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